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NPI Code Detail

MEDICARE: DARA ANNE GOLDYNE M.A.

MEDICARE:   DARA ANNE GOLDYNE  M.A.
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) Counselor

General Provider Information

NPI Number : 1306039102
Entity Type Code : Individual
Provider Name (Legal Business Name) : DARA ANNE GOLDYNE M.A.
Provider Business Mailing Address
First Line : 429 N SAN ANTONIO RD
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93110-1399
Country : US
Telephone Number : 805-252-2210
Fax Number :
Provider Business Practice Location Address
First Line : 25 W ANAPAMU ST
Second Line : SUITE A
City : SANTA BARBARA
State : CA
Zip : 93101-5148
Country : US
Telephone Number : 805-730-7575
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2007
Last Update Date : 04/18/2012

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Directions to “ DARA ANNE GOLDYNE M.A.” Practice Location

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