MEDICARE: DR. RAMONA STEPHANIE GARNIER PHD

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
1	101YM0800X	Mental Health Counselor	36555	CA
2	106H00000X	Marriage & Family Therapist	MFT36555	CA
3	101YM0800X	Mental Health Counselor	MFT36555	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	01	OTHER		TRICARE

General Provider Information

NPI Number	:	1497263412
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. RAMONA STEPHANIE GARNIER PHD

Provider Business Mailing Address
First Line	:	10679 WESTVIEW PKWY FL 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-2961
Country	:	US
Telephone Number	:	858-530-2468
Fax Number	:	858-726-6000

Provider Business Practice Location Address
First Line	:	10679 WESTVIEW PKWY FL 2
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92126-2961
Country	:	US
Telephone Number	:	858-530-2468
Fax Number	:	858-726-6000

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/11/2018
Last Update Date	:	03/17/2018

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