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NPI Code Detail

MEDICARE: MRS. ASHLEY OBISANYA

MEDICARE: MRS. ASHLEY OBISANYA
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
2171M00000XCase Manager/Care Coordinator
3225400000XRehabilitation Practitioner

General Provider Information

NPI Number : 1851643274
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ASHLEY OBISANYA
Provider Business Mailing Address
First Line : 480 CHADBOURNE RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-9639
Country : US
Telephone Number : 510-406-1308
Fax Number :
Provider Business Practice Location Address
First Line : 480 CHADBOURNE RD
Second Line :
City : FAIRFIELD
State : CA
Zip : 94534-9639
Country : US
Telephone Number : 510-406-1308
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2012
Last Update Date : 06/03/2025

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Directions to “ MRS. ASHLEY OBISANYA ” Practice Location

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