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NPI Code Detail

MEDICARE: MS. BARBARA C HILDRETH CADCII

MEDICARE:  MS. BARBARA C HILDRETH  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) CounselorA8454705CA

General Provider Information

NPI Number : 1306065420
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BARBARA C HILDRETH CADCII
Provider Business Mailing Address
First Line : 7932 BRIMSTONE DR
Second Line :
City : CITRUS HEIGHTS
State : CA
Zip : 95621-1011
Country : US
Telephone Number : 916-725-1396
Fax Number :
Provider Business Practice Location Address
First Line : 1828 TRIBUTE RD STE H
Second Line :
City : SACRAMENTO
State : CA
Zip : 95815-4310
Country : US
Telephone Number : 916-564-4400
Fax Number : 916-564-4424
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2007
Last Update Date : 07/08/2007

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