MEDICARE: VALERIE SALINA MAGLAYA

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1831440635
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	VALERIE SALINA MAGLAYA

Provider Business Mailing Address
First Line	:	1300 W LODI AVE STE G2
Second Line	:
City	:	LODI
State	:	CA
Zip	:	95242-3037
Country	:	US
Telephone Number	:	209-334-2126
Fax Number	:

Provider Business Practice Location Address
First Line	:	1300 W LODI AVE STE G2
Second Line	:
City	:	LODI
State	:	CA
Zip	:	95242-3037
Country	:	US
Telephone Number	:	209-334-2126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/20/2012
Last Update Date	:	09/20/2012

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Directions to “ VALERIE SALINA MAGLAYA ” Practice Location

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