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NPI Code Detail

MEDICARE: MS. REGINA KAY BARNUM CADC-II

MEDICARE: MS. REGINA KAY BARNUM CADC-II
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) CounselorA4001107CA

General Provider Information

NPI Number : 1669504460
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REGINA KAY BARNUM CADC-II
Provider Business Mailing Address
First Line : PO BOX 810
Second Line :
City : BROWNS VALLEY
State : CA
Zip : 95918-0810
Country : US
Telephone Number : 530-692-8914
Fax Number :
Provider Business Practice Location Address
First Line : 1251 E ONSTOTT RD
Second Line :
City : YUBA CITY
State : CA
Zip : 95991-2439
Country : US
Telephone Number : 530-822-7263
Fax Number : 530-822-7267
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/09/2007
Last Update Date : 07/08/2007

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