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NPI Code Detail

MEDICARE: TAYLOR TREMAYNE MA, CPC-I, CADC

MEDICARE: TAYLOR TREMAYNE MA, CPC-I, CADC
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) Counselor0812-LCNV
2101YP2500XProfessional CounselorCP5863NV

General Provider Information

NPI Number : 1376054825
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAYLOR TREMAYNE MA, CPC-I, CADC
Provider Business Mailing Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number :
Provider Business Practice Location Address
First Line : 6110 PLUMAS ST
Second Line :
City : RENO
State : NV
Zip : 89519-6076
Country : US
Telephone Number : 775-786-6880
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2017
Last Update Date : 12/05/2025

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