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NPI Code Detail

MEDICARE: MRS. SHARLINE MAYA SMITH APCC

MEDICARE:  MRS. SHARLINE MAYA SMITH  APCC
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
1101YP2500XProfessional Counselor15974CA

General Provider Information

NPI Number : 1225523624
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARLINE MAYA SMITH APCC
Provider Business Mailing Address
First Line : 3840 ROSIN CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1639
Country : US
Telephone Number : 916-921-0828
Fax Number :
Provider Business Practice Location Address
First Line : 3840 ROSIN CT
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1639
Country : US
Telephone Number : 916-921-0828
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/27/2018
Last Update Date : 04/27/2024

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Directions to “ MRS. SHARLINE MAYA SMITH APCC” Practice Location

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