MEDICARE: MR. DARIN PAYNE HASSIG

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	106H00000X	Marriage & Family Therapist	128438	CA

General Provider Information

NPI Number	:	1851621494
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. DARIN PAYNE HASSIG

Provider Business Mailing Address
First Line	:	7236 S RECOVERY RD
Second Line	:
City	:	FRENCH CAMP
State	:	CA
Zip	:	95231-8901
Country	:	US
Telephone Number	:	209-888-6595
Fax Number	:

Provider Business Practice Location Address
First Line	:	7236 S RECOVERY RD
Second Line	:
City	:	FRENCH CAMP
State	:	CA
Zip	:	95231-8901
Country	:	US
Telephone Number	:	916-840-1587
Fax Number	:

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

Provider Enumeration Date	:	01/04/2010
Last Update Date	:	02/26/2024

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