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NPI Code Detail

MEDICARE: DARLA ALONZO

MEDICARE: DARLA ALONZO
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

General Provider Information

NPI Number : 1184168346
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARLA ALONZO
Provider Business Mailing Address
First Line : PO BOX 3868
Second Line :
City : HEMET
State : CA
Zip : 92546-3868
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9245 ACTIVITY RD STE 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92126-4442
Country : US
Telephone Number : 951-327-5409
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2016
Last Update Date : 10/09/2020

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Directions to “ DARLA ALONZO ” Practice Location

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