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NPI Code Detail

MEDICARE: MS. DELITA MARIE ALVARADO CADC II, FACT # 405

MEDICARE: MS. DELITA MARIE ALVARADO CADC II, FACT # 405
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
1101Y00000XCounselorCA

General Provider Information

NPI Number : 1568624260
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. DELITA MARIE ALVARADO CADC II, FACT # 405
Provider Business Mailing Address
First Line : 1446 ETHAN WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2214
Country : US
Telephone Number : 916-924-6262
Fax Number : 916-921-1128
Provider Business Practice Location Address
First Line : 1446 ETHAN WAY
Second Line :
City : SACRAMENTO
State : CA
Zip : 95825-2214
Country : US
Telephone Number : 916-924-6262
Fax Number : 916-921-1128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/25/2008
Last Update Date : 02/03/2014

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Directions to “ MS. DELITA MARIE ALVARADO CADC II, FACT # 405” Practice Location

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