MEDICARE: JAMES GIROD

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033581442
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMES GIROD

Provider Business Mailing Address
First Line	:	1157 30TH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-3410
Country	:	US
Telephone Number	:	619-429-1937
Fax Number	:

Provider Business Practice Location Address
First Line	:	1157 30TH ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-3410
Country	:	US
Telephone Number	:	619-429-1937
Fax Number	:

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

Provider Enumeration Date	:	10/24/2015
Last Update Date	:	10/28/2015

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Directions to “ JAMES GIROD ” Practice Location

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