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“Addiction (substance Use Disorder) Counselor” (Mammoth Lakes, CA)

Location: Mammoth Lakes, CA
Taxonomy: Addiction (substance Use Disorder) Counselor.

A provider can have more than one taxonomy code. It is critical to register all applicable taxonomy codes with NPPES and to use the correct taxonomy code to represent the specific specialty when filing claims. This will assist in more accurate and timely processing of claims.
1063509834 — MRS. DEBRA GRACE STEWART RAS
Practice Location Address:
1290 TAVERN RD STE 276
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1740
1073817557 — DANIELLE GEORGE
Practice Location Address:
452 OLD MAMMOTH ROAD
MAMMOTH LAKES CA
93546-2619
Practice Phone: 760-924-1740
1104630771 — CASSIDY LEIGH MILES
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1740
1366712424 — RICHARD CHARLES BONNEAU
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1740
1497095483 — MR. SALVADOR JESSE MONTANEZ CADC-CAS
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-2619
Practice Phone: 760-924-1740
1619021060 — MRS. CHRISTY ALLISON FORKENBROCK M.A. RAS
Practice Location Address:
122 MEADOW LANE
MAMMOTH LAKES CA
93546
Practice Phone: 760-647-6236
1639096837 — OSCAR OMAR CARRILLO MIRANDA
Practice Location Address:
1290 TAVERN RD
MAMMOTH LAKES CA
93546-6601
Practice Phone: 760-924-1740
1659468429 — MS. SANDRA JEAN LUND
Practice Location Address:
452 OLD MAMMOTH ROAD
MAMMOTH LAKES CA
93546-2619
Practice Phone: 760-924-1740
1679609598 — MICHAEL L LEAR R.A.S.
Practice Location Address:
452 OLD MAMMOTH ROAD 3RD FLOOR
MAMMOTH LAKES CA
93546-0374
Practice Phone: 760-924-1740

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