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NPI Code Detail

MEDICARE: MR. EMANUEL ALCALA

MEDICARE: MR. EMANUEL ALCALA
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

General Provider Information

NPI Number : 1568754984
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. EMANUEL ALCALA
Provider Business Mailing Address
First Line : 5168 N BLYTHE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-6429
Country : US
Telephone Number : 559-248-8550
Fax Number :
Provider Business Practice Location Address
First Line : 5168 N BLYTHE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-6429
Country : US
Telephone Number : 559-248-8550
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/03/2011
Last Update Date : 05/03/2011

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Directions to “ MR. EMANUEL ALCALA ” Practice Location

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