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NPI Code Detail

MEDICARE: FRANK BEJARANO LPC

MEDICARE: FRANK BEJARANO LPC
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 CounselorLPC11949AZ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1932176450
Entity Type Code : Individual
Provider Name (Legal Business Name) : FRANK BEJARANO LPC
Provider Business Mailing Address
First Line : 371 VIA CAPRI
Second Line :
City : RIO RICO
State : AZ
Zip : 85648-1662
Country : US
Telephone Number : 520-313-3476
Fax Number : 520-377-8279
Provider Business Practice Location Address
First Line : 1852 N MASTICK WAY
Second Line : MARIPOSA COMMUNITY HEALTH CENTER
City : NOGALES
State : AZ
Zip : 85621-1063
Country : US
Telephone Number : 520-281-1550
Fax Number : 520-281-1112
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2006
Last Update Date : 02/01/2024

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