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NPI Code Detail

MEDICARE: COUNTY OF KERN

MEDICARE: COUNTY OF KERN
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
2101YA0400XAddiction (Substance Use Disorder) Counselor
3103T00000XPsychologist
4104100000XSocial Worker
5106H00000XMarriage & Family Therapist
6171M00000XCase Manager/Care Coordinator
72084P0800XPsychiatry Physician
8261QM0850XAdult Mental Health Clinic/Center
9261QM0855XAdolescent and Children Mental Health Clinic/Center
10261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1205963113
Entity Type Code : Organization
Provider Name (Legal Business Name) : COUNTY OF KERN
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-6600
Fax Number : 661-861-1020
Provider Business Practice Location Address
First Line : 2151 COLLEGE AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93305-4172
Country : US
Telephone Number : 661-868-6600
Fax Number : 661-861-1020
Authorized Official
Title or Position : DIRECTOR
Name : STACY KUWAHARA
Credential : LMFT
Telephone Number : 661-868-6600
Provider Enumeration Date : 02/27/2007
Last Update Date : 03/12/2021

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Directions to “COUNTY OF KERN ” Practice Location

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