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NPI Code Detail

MEDICARE: TAMECA MINTER

MEDICARE: TAMECA MINTER
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 Counselor69453TX

General Provider Information

NPI Number : 1699285437
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMECA MINTER
Provider Business Mailing Address
First Line : 3835 N FREEWAY BLVD STE 100
Second Line :
City : SACRAMENTO
State : CA
Zip : 95834-1954
Country : US
Telephone Number : 916-576-7900
Fax Number :
Provider Business Practice Location Address
First Line : 7859 WALNUT HILL LN STE 310
Second Line :
City : DALLAS
State : TX
Zip : 75230-5615
Country : US
Telephone Number : 855-501-1004
Fax Number : 833-559-1132
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/06/2017
Last Update Date : 07/10/2024

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Directions to “ TAMECA MINTER ” Practice Location

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