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NPI Code Detail

MEDICARE: MR. DANIEL PARAISO LMFT

MEDICARE: MR. DANIEL PARAISO LMFT
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
1106H00000XMarriage & Family Therapist82212CA

General Provider Information

NPI Number : 1720472335
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. DANIEL PARAISO LMFT
Provider Business Mailing Address
First Line : 1441 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4747
Country : US
Telephone Number : 909-763-4970
Fax Number : 909-763-4977
Provider Business Practice Location Address
First Line : 1441 N D ST
Second Line :
City : SAN BERNARDINO
State : CA
Zip : 92405-4747
Country : US
Telephone Number : 909-763-4970
Fax Number : 909-763-4977
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/20/2015
Last Update Date : 03/20/2015

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