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NPI Code Detail

MEDICARE: MR. JOSHUA DAVID HARTMAN LCSW, LAADC

MEDICARE: MR. JOSHUA DAVID HARTMAN LCSW, LAADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorRALR10160914CA
21041C0700XClinical Social Worker71151CA

General Provider Information

NPI Number : 1457696759
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSHUA DAVID HARTMAN LCSW, LAADC
Provider Business Mailing Address
First Line : 333 SKYWAY DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8552
Country : US
Telephone Number : 805-233-5773
Fax Number :
Provider Business Practice Location Address
First Line : 333 SKYWAY DR
Second Line :
City : CAMARILLO
State : CA
Zip : 93010-8552
Country : US
Telephone Number : 805-233-5773
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2012
Last Update Date : 12/08/2016

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