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NPI Code Detail

MEDICARE: CORRIE D. FRANKS CACII

MEDICARE: CORRIE D. FRANKS CACII
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) CounselorCACII1197DC

General Provider Information

NPI Number : 1205522349
Entity Type Code : Individual
Provider Name (Legal Business Name) : CORRIE D. FRANKS CACII
Provider Business Mailing Address
First Line : 2523 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-7909
Country : US
Telephone Number : 202-667-8831
Fax Number :
Provider Business Practice Location Address
First Line : 2523 14TH ST NW
Second Line :
City : WASHINGTON
State : DC
Zip : 20009-7909
Country : US
Telephone Number : 202-667-8831
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/12/2023
Last Update Date : 04/12/2023

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Directions to “ CORRIE D. FRANKS CACII” Practice Location

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