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NPI Code Detail

MEDICARE: MS. JOANNA CLAIRE INTARA ZIM M.A., L.M.F.T.

MEDICARE: MS. JOANNA CLAIRE INTARA ZIM M.A., L.M.F.T.
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
1106H00000XMarriage & Family Therapist38453CA

General Provider Information

NPI Number : 1841330529
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA CLAIRE INTARA ZIM M.A., L.M.F.T.
Provider Business Mailing Address
First Line : 2282 UNION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3902
Country : US
Telephone Number : 415-923-0481
Fax Number : 707-778-8697
Provider Business Practice Location Address
First Line : 2282 UNION ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3902
Country : US
Telephone Number : 415-923-0481
Fax Number : 707-778-8697
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 07/08/2007

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