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NPI Code Detail

MEDICARE: STEVE GLENN CORTEZ LCSW

MEDICARE: STEVE GLENN CORTEZ 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 CounselorLCS17546CA

General Provider Information

NPI Number : 1518053461
Entity Type Code : Individual
Provider Name (Legal Business Name) : STEVE GLENN CORTEZ LCSW
Provider Business Mailing Address
First Line : 6108 WOLF CREEK CT
Second Line :
City : ELK GROVE
State : CA
Zip : 95758-5361
Country : US
Telephone Number : 916-883-0935
Fax Number :
Provider Business Practice Location Address
First Line : 12500 BRUCEVILLE RD
Second Line :
City : ELK GROVE
State : CA
Zip : 95757-9784
Country : US
Telephone Number : 916-684-1866
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/05/2006
Last Update Date : 07/08/2007

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Directions to “ STEVE GLENN CORTEZ LCSW” Practice Location

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