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NPI Code Detail

MEDICARE: BERNADETTE MORALES

MEDICARE: BERNADETTE MORALES
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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
197037OTHERCAOLLIN
241491OTHERCAENTRE FAMILIA OP
399037OTHEROLLIN - PROP. 36

General Provider Information

NPI Number : 1144429457
Entity Type Code : Individual
Provider Name (Legal Business Name) : BERNADETTE MORALES
Provider Business Mailing Address
First Line : 301 GRAND AVE STE 301
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-3641
Country : US
Telephone Number : 650-244-1441
Fax Number : 650-244-1447
Provider Business Practice Location Address
First Line : 301 GRAND AVE STE 301
Second Line :
City : SOUTH SAN FRANCISCO
State : CA
Zip : 94080-3641
Country : US
Telephone Number : 650-244-1441
Fax Number : 650-244-1447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 07/16/2007

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Directions to “ BERNADETTE MORALES ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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