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NPI Code Detail

MEDICARE: TRINA FLENTGE

MEDICARE: TRINA FLENTGE
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 : 1669515722
Entity Type Code : Individual
Provider Name (Legal Business Name) : TRINA FLENTGE
Provider Business Mailing Address
First Line : 11716 ENTERPRISE DR
Second Line :
City : AUBURN
State : CA
Zip : 95603-3732
Country : US
Telephone Number : 530-886-5423
Fax Number :
Provider Business Practice Location Address
First Line : 11716 ENTERPRISE DR
Second Line :
City : AUBURN
State : CA
Zip : 95603-3732
Country : US
Telephone Number : 916-886-5423
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2007
Last Update Date : 11/13/2017

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Directions to “ TRINA FLENTGE ” Practice Location

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