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NPI Code Detail

MEDICARE: AMBER BAYONA LCSW

MEDICARE: AMBER BAYONA LCSW
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
1101Y00000XCounselor
21041C0700XClinical Social Worker

General Provider Information

NPI Number : 1184819278
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER BAYONA LCSW
Provider Business Mailing Address
First Line : 1660 HOTEL CIR N STE 314
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-961-2120
Fax Number : 619-961-2138
Provider Business Practice Location Address
First Line : 1660 HOTEL CIR N STE 314
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-2803
Country : US
Telephone Number : 619-961-2120
Fax Number : 619-961-2138
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/11/2007
Last Update Date : 07/06/2023

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Directions to “ AMBER BAYONA LCSW” Practice Location

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