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NPI Code Detail

MEDICARE: MARIA CUESTA-REPICE

MEDICARE: MARIA CUESTA-REPICE
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1861063836
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA CUESTA-REPICE
Provider Business Mailing Address
First Line : 701 RETREAT DR
Second Line :
City : NAPLES
State : FL
Zip : 34110-7942
Country : US
Telephone Number : 239-405-2938
Fax Number :
Provider Business Practice Location Address
First Line : 12811 KENWOOD LN STE 213
Second Line :
City : FORT MYERS
State : FL
Zip : 33907-5648
Country : US
Telephone Number : 239-537-9646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/09/2021
Last Update Date : 07/09/2021

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Directions to “ MARIA CUESTA-REPICE ” Practice Location

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