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NPI Code Detail

MEDICARE: MRS. ADRIANA MARIA FURUZAWA LMFT

MEDICARE: MRS. ADRIANA MARIA FURUZAWA LMFT
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 Counselor
2106H00000XMarriage & Family Therapist99416CA

General Provider Information

NPI Number : 1447460381
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ADRIANA MARIA FURUZAWA LMFT
Provider Business Mailing Address
First Line : 1005 ATLANTIC AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 415-474-7310
Fax Number : 415-931-0972
Provider Business Practice Location Address
First Line : 1005 ATLANTIC AVE
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-1148
Country : US
Telephone Number : 415-474-7310
Fax Number : 415-931-0972
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/22/2007
Last Update Date : 11/14/2019

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