MEDICARE: FRANCIS ALONSO M.A. ED.S

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1588809313
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FRANCIS ALONSO M.A. ED.S

Provider Business Mailing Address
First Line	:	820 SAN CARLOS CIR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-7753
Country	:	US
Telephone Number	:	951-340-1614
Fax Number	:

Provider Business Practice Location Address
First Line	:	820 SAN CARLOS CIR
Second Line	:
City	:	CORONA
State	:	CA
Zip	:	92879-7753
Country	:	US
Telephone Number	:	951-340-1614
Fax Number	:

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

Provider Enumeration Date	:	12/08/2008
Last Update Date	:	12/08/2008

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