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NPI Code Detail

MEDICARE: ANA KARINA RIOS-DAMACIO LPCC 10911

MEDICARE: ANA KARINA RIOS-DAMACIO LPCC 10911
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
1101YP2500XProfessional CounselorLPCC10911CA

General Provider Information

NPI Number : 1619369642
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA KARINA RIOS-DAMACIO LPCC 10911
Provider Business Mailing Address
First Line : 6083 N FIGARDEN DR # 635
Second Line :
City : FRESNO
State : CA
Zip : 93722-3226
Country : US
Telephone Number : 559-341-9470
Fax Number :
Provider Business Practice Location Address
First Line : 12390 GOLDEN STATE BLVD
Second Line :
City : MADERA
State : CA
Zip : 93637-9156
Country : US
Telephone Number : 559-660-4606
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2015
Last Update Date : 10/07/2024

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Directions to “ ANA KARINA RIOS-DAMACIO LPCC 10911” Practice Location

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