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NPI Code Detail

MEDICARE: MS. ANGELA PRISCILLA FRATICELLI CAS

MEDICARE: MS. ANGELA PRISCILLA FRATICELLI CAS
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

General Provider Information

NPI Number : 1073714192
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA PRISCILLA FRATICELLI CAS
Provider Business Mailing Address
First Line : 942 S SANTA FE ST
Second Line :
City : VISALIA
State : CA
Zip : 93292-2912
Country : US
Telephone Number : 559-636-4036
Fax Number :
Provider Business Practice Location Address
First Line : 942 S SANTA FE ST
Second Line :
City : VISALIA
State : CA
Zip : 93292-2912
Country : US
Telephone Number : 559-636-4036
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/29/2007
Last Update Date : 03/22/2018

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Directions to “ MS. ANGELA PRISCILLA FRATICELLI CAS” Practice Location

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