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NPI Code Detail

MEDICARE: REBEKAH WEIMER

MEDICARE:   REBEKAH  WEIMER
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
2106S00000XBehavior Technician
3171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1144793761
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBEKAH WEIMER
Provider Business Mailing Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 559-554-9703
Fax Number : 559-554-9703
Provider Business Practice Location Address
First Line : 2514 N WHITTIER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1462
Country : US
Telephone Number : 559-554-9703
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/07/2019
Last Update Date : 12/31/2024

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