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NPI Code Detail

MEDICARE: MISS VALERIE M FRAUSTO CADC

MEDICARE: MISS VALERIE M FRAUSTO CADC
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) Counselor
2171M00000XCase Manager/Care CoordinatorRW6480CA

General Provider Information

NPI Number : 1609283878
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS VALERIE M FRAUSTO CADC
Provider Business Mailing Address
First Line : 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number : 626-453-3406
Fax Number : 626-246-3433
Provider Business Practice Location Address
First Line : 3430 COGSWELL RD
Second Line :
City : EL MONTE
State : CA
Zip : 91732-2785
Country : US
Telephone Number : 626-453-3406
Fax Number : 626-246-3433
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/18/2014
Last Update Date : 03/09/2021

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