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NPI Code Detail

MEDICARE: ANN C CULLINAN CADCII

MEDICARE: ANN C CULLINAN CADCII
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) CounselorA8367506CA

General Provider Information

NPI Number : 1265565378
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANN C CULLINAN CADCII
Provider Business Mailing Address
First Line : 145 BOST AVE
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-3249
Country : US
Telephone Number : 530-265-9045
Fax Number :
Provider Business Practice Location Address
First Line : 145 BOST AVE
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-3249
Country : US
Telephone Number : 530-265-9045
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2007
Last Update Date : 07/08/2007

Similar Medicare Providers

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1558781104 — WILLIAM MINER MAGUIRE JR.
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1477949105 — LORAN GILLASPY RADT I
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Directions to “ ANN C CULLINAN CADCII” Practice Location

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