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NPI Code Detail

MEDICARE: MARY ELIZABETH BASCHERINI CAS

MEDICARE: MARY ELIZABETH BASCHERINI CAS
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) Counselor03-091794CA

General Provider Information

NPI Number : 1437499563
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARY ELIZABETH BASCHERINI CAS
Provider Business Mailing Address
First Line : 3648 EL PORTAL DR
Second Line :
City : REDDING
State : CA
Zip : 96002-3133
Country : US
Telephone Number : 530-722-1114
Fax Number :
Provider Business Practice Location Address
First Line : 3648 EL PORTAL DR
Second Line :
City : REDDING
State : CA
Zip : 96002-3133
Country : US
Telephone Number : 530-722-1114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2013
Last Update Date : 02/27/2013

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