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NPI Code Detail

MEDICARE: ALEXIS ROSE SATTERFIELD

MEDICARE: ALEXIS ROSE SATTERFIELD
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
1101YA0400XAddiction (Substance Use Disorder) CounselorRI-S1202031826CA

General Provider Information

NPI Number : 1962761023
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEXIS ROSE SATTERFIELD
Provider Business Mailing Address
First Line : 2136 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-1102
Country : US
Telephone Number : 619-291-1881
Fax Number : 619-291-7347
Provider Business Practice Location Address
First Line : 2136 EL CAJON BLVD
Second Line :
City : SAN DIEGO
State : CA
Zip : 92104-1102
Country : US
Telephone Number : 619-291-1881
Fax Number : 619-291-7347
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/10/2012
Last Update Date : 05/10/2012

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Directions to “ ALEXIS ROSE SATTERFIELD ” Practice Location

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