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NPI Code Detail

MEDICARE: MS. ADRIANA DEL CARMEN MARTINEZ-CHAVEZ

MEDICARE: MS. ADRIANA DEL CARMEN MARTINEZ-CHAVEZ
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 Counselor
21041C0700XClinical Social Worker70198CA
3101YM0800XMental Health Counselor70198CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1104100000XOTHERCASOCIAL WORKER
2101Y00000XOTHERCACOUNSELOR
3101YM0800XOTHERCAMENTAL HEALTH

General Provider Information

NPI Number : 1386794238
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ADRIANA DEL CARMEN MARTINEZ-CHAVEZ
Provider Business Mailing Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-346-4308
Fax Number :
Provider Business Practice Location Address
First Line : 1272 HAYES ST
Second Line :
City : NAPA
State : CA
Zip : 94559-1711
Country : US
Telephone Number : 707-346-4308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/11/2007
Last Update Date : 12/18/2024

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Directions to “ MS. ADRIANA DEL CARMEN MARTINEZ-CHAVEZ ” Practice Location

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