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NPI Code Detail

MEDICARE: ANA SALVATIERRA

MEDICARE: ANA SALVATIERRA
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
1225C00000XRehabilitation Counselor00116497IL
2101YP2500XProfessional Counselor180009726IL
3101YP2500XProfessional CounselorCCMH0221301NM

General Provider Information

NPI Number : 1346757622
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA SALVATIERRA
Provider Business Mailing Address
First Line : PO BOX 740018
Second Line :
City : ATLANTA
State : GA
Zip : 30374-0018
Country : US
Telephone Number : 505-777-3004
Fax Number : 505-808-4990
Provider Business Practice Location Address
First Line : 1625 RIO BRAVO BLVD SW STE 36
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87105-6060
Country : US
Telephone Number : 505-777-3004
Fax Number : 505-808-4990
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/08/2018
Last Update Date : 09/26/2025

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Directions to “ ANA SALVATIERRA ” Practice Location

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