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NPI Code Detail

MEDICARE: STACY R BERUMEN

MEDICARE:   STACY R BERUMEN
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) CounselorB051110404CA
2101YM0800XMental Health Counselor
3171M00000XCase Manager/Care Coordinator
4172V00000XCommunity Health Worker
5373H00000XDay Training/Habilitation Specialist

General Provider Information

NPI Number : 1598895104
Entity Type Code : Individual
Provider Name (Legal Business Name) : STACY R BERUMEN
Provider Business Mailing Address
First Line : 2821 H ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-1710
Country : US
Telephone Number : 661-546-6365
Fax Number :
Provider Business Practice Location Address
First Line : 2821 H ST
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93301-1913
Country : US
Telephone Number : 661-546-6365
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/06/2007
Last Update Date : 03/17/2025

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Directions to “ STACY R BERUMEN ” Practice Location

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