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NPI Code Detail

MEDICARE: BETTEE CHENOWITH SUDCC II

MEDICARE: BETTEE CHENOWITH SUDCC II
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
1101YA0400XAddiction (Substance Use Disorder) Counselor10507CA

General Provider Information

NPI Number : 1750644605
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETTEE CHENOWITH SUDCC II
Provider Business Mailing Address
First Line : 1147 HARTNELL AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-2113
Country : US
Telephone Number : 530-222-7213
Fax Number : 530-222-7268
Provider Business Practice Location Address
First Line : 1147 HARTNELL AVE
Second Line :
City : REDDING
State : CA
Zip : 96002-2113
Country : US
Telephone Number : 530-222-7213
Fax Number : 530-222-7268
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/15/2012
Last Update Date : 03/02/2026

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