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NPI Code Detail

MEDICARE: DESIREE SPADARO

MEDICARE: DESIREE SPADARO
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
1101YM0800XMental Health CounselorAPCC20077CA

General Provider Information

NPI Number : 1326924648
Entity Type Code : Individual
Provider Name (Legal Business Name) : DESIREE SPADARO
Provider Business Mailing Address
First Line : 805 ALLEN AVE
Second Line :
City : LA VERNE
State : CA
Zip : 91750-3202
Country : US
Telephone Number : 909-242-4246
Fax Number :
Provider Business Practice Location Address
First Line : 390 N EUCLID AVE
Second Line :
City : UPLAND
State : CA
Zip : 91786-4763
Country : US
Telephone Number : 909-949-7804
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2025
Last Update Date : 04/08/2026

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Directions to “ DESIREE SPADARO ” Practice Location

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