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NPI Code Detail

MEDICARE: MS. PATRICE M TAMP

MEDICARE: MS. PATRICE M TAMP
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

General Provider Information

NPI Number : 1639349756
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. PATRICE M TAMP
Provider Business Mailing Address
First Line : PO BOX 400
Second Line :
City : RED BLUFF
State : CA
Zip : 96080-0400
Country : US
Telephone Number : 530-527-7893
Fax Number : 530-527-0766
Provider Business Practice Location Address
First Line : 818 MAIN ST
Second Line :
City : RED BLUFF
State : CA
Zip : 96080-2759
Country : US
Telephone Number : 530-527-8491
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2008
Last Update Date : 03/04/2008

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Directions to “ MS. PATRICE M TAMP ” Practice Location

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