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NPI Code Detail

MEDICARE: BESS ESTIS LCSW

MEDICARE: BESS ESTIS LCSW
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 Counselor0005CAL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10005COTHERALLCSW

General Provider Information

NPI Number : 1447250402
Entity Type Code : Individual
Provider Name (Legal Business Name) : BESS ESTIS LCSW
Provider Business Mailing Address
First Line : 3001 SCENIC HWY
Second Line :
City : GADSDEN
State : AL
Zip : 35904-3047
Country : US
Telephone Number : 256-546-9265
Fax Number : 256-549-0376
Provider Business Practice Location Address
First Line : 3001 SCENIC HWY
Second Line :
City : GADSDEN
State : AL
Zip : 35904-3047
Country : US
Telephone Number : 256-546-9265
Fax Number : 256-549-0376
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/29/2005
Last Update Date : 07/08/2007

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Directions to “ BESS ESTIS LCSW” Practice Location

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