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NPI Code Detail

MEDICARE: EMILY MELISSA BRODIE REMBA LCSW

MEDICARE: EMILY MELISSA BRODIE REMBA LCSW
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
21041C0700XClinical Social Worker68029CA

General Provider Information

NPI Number : 1043503410
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY MELISSA BRODIE REMBA LCSW
Provider Business Mailing Address
First Line : 11440 W BERNARDO CT STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-1644
Country : US
Telephone Number : 858-380-2600
Fax Number : 858-367-6160
Provider Business Practice Location Address
First Line : 11440 W BERNARDO CT STE 300
Second Line :
City : SAN DIEGO
State : CA
Zip : 92127-1644
Country : US
Telephone Number : 858-380-2600
Fax Number : 858-367-6160
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2011
Last Update Date : 05/17/2021

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Directions to “ EMILY MELISSA BRODIE REMBA LCSW” Practice Location

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