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NPI Code Detail

MEDICARE: MONICA MARES

MEDICARE: MONICA MARES
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
1172V00000XCommunity Health Worker
2101YA0400XAddiction (Substance Use Disorder) CounselorWV

General Provider Information

NPI Number : 1962875898
Entity Type Code : Individual
Provider Name (Legal Business Name) : MONICA MARES
Provider Business Mailing Address
First Line : 106 CRADDOCK DR
Second Line :
City : SPENCER
State : WV
Zip : 25276-1619
Country : US
Telephone Number : 606-566-1562
Fax Number :
Provider Business Practice Location Address
First Line : 344 E 100 S STE 301
Second Line :
City : SLC
State : UT
Zip : 84111-1727
Country : US
Telephone Number : 801-322-4257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/30/2015
Last Update Date : 05/18/2026

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Directions to “ MONICA MARES ” Practice Location

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