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NPI Code Detail

MEDICARE: NOAH ALEXANDER GLEASON

MEDICARE:   NOAH ALEXANDER GLEASON
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1841147659
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOAH ALEXANDER GLEASON
Provider Business Mailing Address
First Line : 10220 FORT SANDERS AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93311-4703
Country : US
Telephone Number : 916-918-4626
Fax Number :
Provider Business Practice Location Address
First Line : 5417 PACER VALLEY CT
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93313-4304
Country : US
Telephone Number : 661-412-7611
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/11/2026
Last Update Date : 03/11/2026

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Directions to “ NOAH ALEXANDER GLEASON ” Practice Location

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