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NPI Code Detail

MEDICARE: SASHA SILL

MEDICARE: SASHA SILL
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 Counselor

General Provider Information

NPI Number : 1710285358
Entity Type Code : Individual
Provider Name (Legal Business Name) : SASHA SILL
Provider Business Mailing Address
First Line : 275 BAKER ST E
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4566
Country : US
Telephone Number : 714-361-6760
Fax Number :
Provider Business Practice Location Address
First Line : 275 BAKER ST E
Second Line :
City : COSTA MESA
State : CA
Zip : 92626-4566
Country : US
Telephone Number : 714-361-6760
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/07/2011
Last Update Date : 01/21/2015

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Directions to “ SASHA SILL ” Practice Location

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