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NPI Code Detail

MEDICARE: MONICA MCBRIDE

MEDICARE: MONICA MCBRIDE
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) CounselorA010450315CA
2172V00000XCommunity Health WorkerA010450315CA

General Provider Information

NPI Number : 1528475308
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MCBRIDE
Provider Business Mailing Address
First Line : PO BOX 1000
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93302-1000
Country : US
Telephone Number : 661-868-8310
Fax Number :
Provider Business Practice Location Address
First Line : 3300 TRUXTUN AVE STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-3123
Country : US
Telephone Number : 661-868-8310
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/14/2014
Last Update Date : 01/29/2024

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Directions to “ MONICA MCBRIDE ” Practice Location

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