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NPI Code Detail

MEDICARE: ANASTASIA INGRAM-FLORES

MEDICARE: ANASTASIA INGRAM-FLORES
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 Counselor70347CA
21041C0700XClinical Social Worker110239CA

General Provider Information

NPI Number : 1861857344
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANASTASIA INGRAM-FLORES
Provider Business Mailing Address
First Line : 985 DUNCAN ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94131-1800
Country : US
Telephone Number : 559-304-7928
Fax Number :
Provider Business Practice Location Address
First Line : 7200 BANCROFT AVE STE 125B
Second Line :
City : OAKLAND
State : CA
Zip : 94605-2456
Country : US
Telephone Number : 510-383-5140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/28/2015
Last Update Date : 01/22/2025

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Directions to “ ANASTASIA INGRAM-FLORES ” Practice Location

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