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NPI Code Detail

MEDICARE: MS. MICHELLE ANN DRAPER

MEDICARE: MS. MICHELLE ANN DRAPER
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
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1083887491
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MICHELLE ANN DRAPER
Provider Business Mailing Address
First Line : 1208 9TH ST
Second Line :
City : MODESTO
State : CA
Zip : 95354-0713
Country : US
Telephone Number : 209-558-4762
Fax Number : 209-523-1296
Provider Business Practice Location Address
First Line : 1208 9TH ST
Second Line :
City : MODESTO
State : CA
Zip : 95354-0713
Country : US
Telephone Number : 209-558-4762
Fax Number : 209-523-1296
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/07/2008
Last Update Date : 03/03/2010

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Directions to “ MS. MICHELLE ANN DRAPER ” Practice Location

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