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NPI Code Detail

MEDICARE: GEORGE JUAREZ

MEDICARE: GEORGE JUAREZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1639208226
Entity Type Code : Individual
Provider Name (Legal Business Name) : GEORGE JUAREZ
Provider Business Mailing Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2090 EVANS LN
Second Line :
City : SAN JOSE
State : CA
Zip : 95125-2072
Country : US
Telephone Number : 408-793-2449
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 11/03/2016

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Directions to “ GEORGE JUAREZ ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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