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NPI Code Detail

MEDICARE: CECILIA ALVARADO-MAL

MEDICARE: CECILIA ALVARADO-MAL
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
2106S00000XBehavior Technician

General Provider Information

NPI Number : 1013371012
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA ALVARADO-MAL
Provider Business Mailing Address
First Line : PO BOX 33568
Second Line :
City : SAN DIEGO
State : CA
Zip : 92163-3568
Country : US
Telephone Number : 855-223-7123
Fax Number :
Provider Business Practice Location Address
First Line : 2450 MARTIN RD # 100
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-1018
Country : US
Telephone Number : 855-223-7123
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2016
Last Update Date : 05/29/2024

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Directions to “ CECILIA ALVARADO-MAL ” Practice Location

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