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NPI Code Detail

MEDICARE: MRS. MARIBEL ACEVEDO BARRIOS M.S.W.

MEDICARE: MRS. MARIBEL ACEVEDO BARRIOS M.S.W.
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 CounselorASW73621CA
2104100000XSocial Worker111147CA

General Provider Information

NPI Number : 1427191279
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MARIBEL ACEVEDO BARRIOS M.S.W.
Provider Business Mailing Address
First Line : 831 E ARROW HWY
Second Line :
City : POMONA
State : CA
Zip : 91767-2535
Country : US
Telephone Number : 909-398-4383
Fax Number : 909-445-8936
Provider Business Practice Location Address
First Line : 831 E ARROW HWY
Second Line :
City : POMONA
State : CA
Zip : 91767-2535
Country : US
Telephone Number : 909-398-4383
Fax Number : 909-445-8936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/14/2007
Last Update Date : 06/18/2024

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