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NPI Code Detail

MEDICARE: MRS. ANNA NUNEZ CATCII

MEDICARE: MRS. ANNA NUNEZ CATCII
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) CounselorCATCII071404CA

General Provider Information

NPI Number : 1083096622
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ANNA NUNEZ CATCII
Provider Business Mailing Address
First Line : 1230 N MARENGO AVE.
Second Line :
City : PASADENA
State : CA
Zip : 91103
Country : US
Telephone Number : 626-797-1124
Fax Number : 626-398-9674
Provider Business Practice Location Address
First Line : 1230 N MARENGO AVE
Second Line :
City : PASADENA
State : CA
Zip : 91103-2217
Country : US
Telephone Number : 626-797-1124
Fax Number : 626-398-9674
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/19/2015
Last Update Date : 06/19/2015

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