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NPI Code Detail

MEDICARE: VANESSA VOLLAIRE I

MEDICARE:   VANESSA  VOLLAIRE I
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
2171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1780858431
Entity Type Code : Individual
Provider Name (Legal Business Name) : VANESSA VOLLAIRE I
Provider Business Mailing Address
First Line : 12813 PHILADELPHIA ST
Second Line :
City : WHITTIER
State : CA
Zip : 90601-4118
Country : US
Telephone Number : 562-693-0400
Fax Number : 562-693-0422
Provider Business Practice Location Address
First Line : 3316 S MAIN ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90007-4126
Country : US
Telephone Number : 323-387-9146
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2008
Last Update Date : 10/09/2024

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Directions to “ VANESSA VOLLAIRE I ” Practice Location

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