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NPI Code Detail

MEDICARE: MR. JOSE DANIEL SALAZAR

MEDICARE: MR. JOSE DANIEL SALAZAR
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) Counselor1446CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11446OTHERCACOUNSELOR ADDICTION

General Provider Information

NPI Number : 1346365939
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JOSE DANIEL SALAZAR
Provider Business Mailing Address
First Line : 1729 VILLA AVE
Second Line : APT B
City : SANTA BARBARA
State : CA
Zip : 93101-4654
Country : US
Telephone Number : 805-636-6489
Fax Number : 805-856-0457
Provider Business Practice Location Address
First Line : 26 W FIGUEROA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3104
Country : US
Telephone Number : 805-963-8961
Fax Number : 805-963-8964
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2007
Last Update Date : 07/08/2007

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