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NPI Code Detail

MEDICARE: DARCY LEANNE LOWE

MEDICARE: DARCY LEANNE LOWE
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) Counselor
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1598395865
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARCY LEANNE LOWE
Provider Business Mailing Address
First Line : 8554 HILTON WAY
Second Line :
City : FAIR OAKS
State : CA
Zip : 95628-2963
Country : US
Telephone Number : 916-992-4753
Fax Number :
Provider Business Practice Location Address
First Line : 1446 ETHAN WAY STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2235
Country : US
Telephone Number : 209-410-1922
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2020
Last Update Date : 04/20/2022

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