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NPI Code Detail

MEDICARE: LINDA G WORSHAM

MEDICARE: LINDA G WORSHAM
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1669786026
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDA G WORSHAM
Provider Business Mailing Address
First Line : 2387 LISA LN
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-3949
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2387 LISA LN
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-3949
Country : US
Telephone Number : 925-677-0680
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2010
Last Update Date : 07/27/2010

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Directions to “ LINDA G WORSHAM ” Practice Location

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