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NPI Code Detail

MEDICARE: ALLISON POLETTI M.A.

MEDICARE: ALLISON POLETTI M.A.
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
1101YP2500XProfessional Counselor
2101Y00000XCounselor

General Provider Information

NPI Number : 1427211077
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON POLETTI M.A.
Provider Business Mailing Address
First Line : PO BOX 100
Second Line :
City : ALBANY
State : OR
Zip : 97321-0031
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2730 PACIFIC BLVD SE
Second Line :
City : ALBANY
State : OR
Zip : 97321-5075
Country : US
Telephone Number : 541-967-3866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/03/2008
Last Update Date : 09/28/2023

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Directions to “ ALLISON POLETTI M.A.” Practice Location

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