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NPI Code Detail

MEDICARE: JULIAN U BERNAL

MEDICARE:   JULIAN U BERNAL
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 : 1184092090
Entity Type Code : Individual
Provider Name (Legal Business Name) : JULIAN U BERNAL
Provider Business Mailing Address
First Line : 6400 SHARLANDS AVE
Second Line : B2012
City : RENO
State : NV
Zip : 89523-3748
Country : US
Telephone Number : 626-297-8092
Fax Number :
Provider Business Practice Location Address
First Line : 525 ROBERTS ST
Second Line :
City : RENO
State : NV
Zip : 89502-7818
Country : US
Telephone Number : 775-688-2060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/09/2015
Last Update Date : 09/09/2015

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Directions to “ JULIAN U BERNAL ” Practice Location

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