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NPI Code Detail

MEDICARE: LAURINDA GIFFORD

MEDICARE: LAURINDA GIFFORD
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) Counselor
2101YA0400XAddiction (Substance Use Disorder) CounselorR1329481118CA

General Provider Information

NPI Number : 1427486356
Entity Type Code : Individual
Provider Name (Legal Business Name) : LAURINDA GIFFORD
Provider Business Mailing Address
First Line : 2640 BRESLAUER WAY
Second Line :
City : REDDING
State : CA
Zip : 96001-4246
Country : US
Telephone Number : 530-229-8479
Fax Number : 530-225-5200
Provider Business Practice Location Address
First Line : 1147 HARTNELL AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-2113
Country : US
Telephone Number : 530-222-7213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2013
Last Update Date : 01/18/2021

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Directions to “ LAURINDA GIFFORD ” Practice Location

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