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NPI Code Detail

MEDICARE: LAURA FUCHS

MEDICARE:   LAURA  FUCHS
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 CounselorCA

General Provider Information

NPI Number : 1205986072
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURA FUCHS
Provider Business Mailing Address
First Line : 629 OAKLAND AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 629 OAKLAND AVE
Second Line :
City : OAKLAND
State : CA
Zip : 94611-4567
Country : US
Telephone Number : 510-613-0330
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 11/12/2018

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Directions to “ LAURA FUCHS ” Practice Location

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