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NPI Code Detail

MEDICARE: MS. ASHA MOSES TINSLEY AMFT

MEDICARE: MS. ASHA MOSES TINSLEY AMFT
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
1106H00000XMarriage & Family Therapist
2171M00000XCase Manager/Care Coordinator
3106H00000XMarriage & Family Therapist114898CA
4101YM0800XMental Health Counselor
5101YP2500XProfessional Counselor

General Provider Information

NPI Number : 1215287099
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ASHA MOSES TINSLEY AMFT
Provider Business Mailing Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1093
Country : US
Telephone Number : 916-452-3981
Fax Number :
Provider Business Practice Location Address
First Line : 2750 SUTTERVILLE RD
Second Line :
City : SACRAMENTO
State : CA
Zip : 95820-1093
Country : US
Telephone Number : 916-452-3981
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/19/2012
Last Update Date : 03/18/2021

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