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NPI Code Detail

MEDICARE: DANIEL CARRASCO

MEDICARE: DANIEL CARRASCO
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1407795578
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL CARRASCO
Provider Business Mailing Address
First Line : 3001 STATE UNIVERSITY DR # E-404
Second Line :
City : SACRAMENTO
State : CA
Zip : 95826-2364
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1532 ROSALIND ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95838-4535
Country : US
Telephone Number : 408-568-9834
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/25/2026
Last Update Date : 03/25/2026

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Directions to “ DANIEL CARRASCO ” Practice Location

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