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NPI Code Detail

MEDICARE: ANDREE VOLIN LCSW

MEDICARE: ANDREE VOLIN LCSW
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
11041C0700XClinical Social WorkerL6283OR
21041C0700XClinical Social WorkerC-12166NM

General Provider Information

NPI Number : 1710252473
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREE VOLIN LCSW
Provider Business Mailing Address
First Line : 500 4TH ST NW STE 102
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87102-2104
Country : US
Telephone Number : 541-250-0382
Fax Number :
Provider Business Practice Location Address
First Line : 9620 NE TANASBOURNE DR STE 300
Second Line :
City : HILLSBORO
State : OR
Zip : 97124-7844
Country : US
Telephone Number : 541-250-0382
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2012
Last Update Date : 06/25/2024

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Directions to “ ANDREE VOLIN LCSW” Practice Location

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