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NPI Code Detail

MEDICARE: MARCUS PIRO

MEDICARE: MARCUS PIRO
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
2390200000XStudent in an Organized Health Care Education/Training Program
3101YA0400XAddiction (Substance Use Disorder) Counselor
41041C0700XClinical Social Worker139093CA

General Provider Information

NPI Number : 1821652512
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCUS PIRO
Provider Business Mailing Address
First Line : 421 E MORRIS AVE
Second Line :
City : MODESTO
State : CA
Zip : 95354-0437
Country : US
Telephone Number : 209-303-4030
Fax Number :
Provider Business Practice Location Address
First Line : 421 E MORRIS AVE
Second Line :
City : MODESTO
State : CA
Zip : 95354-0437
Country : US
Telephone Number : 209-303-4030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/28/2019
Last Update Date : 06/04/2026

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Directions to “ MARCUS PIRO ” Practice Location

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