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NPI Code Detail

MEDICARE: LUCIA CASTANEDA GUIZAR

MEDICARE: LUCIA CASTANEDA GUIZAR
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
1106S00000XBehavior Technician
2101YA0400XAddiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number : 1538587001
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUCIA CASTANEDA GUIZAR
Provider Business Mailing Address
First Line : 5217 GEORGIA AVE
Second Line :
City : KANSAS CITY
State : KS
Zip : 66104-3053
Country : US
Telephone Number : 805-223-4610
Fax Number :
Provider Business Practice Location Address
First Line : 6214 24TH AVE
Second Line :
City : BROOKLYN
State : NY
Zip : 11204-3319
Country : US
Telephone Number : 212-481-4040
Fax Number : 212-414-4660
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/02/2014
Last Update Date : 10/30/2024

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Directions to “ LUCIA CASTANEDA GUIZAR ” Practice Location

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