MEDICARE: MRS. LINDA L MORSE

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	RS7016	CA

General Provider Information

NPI Number	:	1578804829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDA L MORSE

Provider Business Mailing Address
First Line	:	PO BOX 2050
Second Line	:
City	:	PENN VALLEY
State	:	CA
Zip	:	95946-2050
Country	:	US
Telephone Number	:	530-277-9750
Fax Number	:	530-432-6926

Provider Business Practice Location Address
First Line	:	21962 MCDANIEL RD
Second Line	:
City	:	BIG OAK VALLEY
State	:	CA
Zip	:	95977-9504
Country	:	US
Telephone Number	:	530-277-9750
Fax Number	:	530-432-6926

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/12/2013
Last Update Date	:	03/12/2013

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