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NPI Code Detail

MEDICARE: VICKY PAIGE

MEDICARE: VICKY PAIGE
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) Counselor

General Provider Information

NPI Number : 1770390825
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICKY PAIGE
Provider Business Mailing Address
First Line : 5080 CALIFORNIA AVE STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0794
Country : US
Telephone Number : 661-634-9877
Fax Number :
Provider Business Practice Location Address
First Line : 5080 CALIFORNIA AVE STE 100
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-0794
Country : US
Telephone Number : 661-634-9877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/12/2024
Last Update Date : 02/28/2025

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Directions to “ VICKY PAIGE ” Practice Location

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