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NPI Code Detail

MEDICARE: ERIC KENDAL HASTING RADT

MEDICARE: ERIC KENDAL HASTING RADT
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

General Provider Information

NPI Number : 1851199723
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERIC KENDAL HASTING RADT
Provider Business Mailing Address
First Line : 10898 BOESSOW RD
Second Line :
City : GALT
State : CA
Zip : 95632-8451
Country : US
Telephone Number : 925-794-9071
Fax Number :
Provider Business Practice Location Address
First Line : 10898 BOESSOW RD
Second Line :
City : GALT
State : CA
Zip : 95632-8451
Country : US
Telephone Number : 925-794-9071
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/05/2025
Last Update Date : 03/05/2025

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Directions to “ ERIC KENDAL HASTING RADT” Practice Location

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