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NPI Code Detail

MEDICARE: NOELIAY MARIN

MEDICARE: NOELIAY MARIN
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

General Provider Information

NPI Number : 1124291125
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELIAY MARIN
Provider Business Mailing Address
First Line : 18200 HIGHWAY 178
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-9510
Country : US
Telephone Number : 661-871-9697
Fax Number :
Provider Business Practice Location Address
First Line : 18200 HIGHWAY 178
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93306-9510
Country : US
Telephone Number : 661-871-9697
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 04/10/2008

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Directions to “ NOELIAY MARIN ” Practice Location

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