MEDICARE: TAMMY LOU CATES

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	A03770315	CA

General Provider Information

NPI Number	:	1326176363
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAMMY LOU CATES

Provider Business Mailing Address
First Line	:	PO BOX 1000
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93302-1000
Country	:	US
Telephone Number	:	661-868-6601
Fax Number	:	661-868-6666

Provider Business Practice Location Address
First Line	:	316 KENTUCKY ST
Second Line	:
City	:	BAKERSFIELD
State	:	CA
Zip	:	93305-4230
Country	:	US
Telephone Number	:	661-978-2284
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	02/17/2021

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