MEDICARE: MS. ADRIAN MARIE GARCIA

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
1	101YA0400X	Addiction (Substance Use Disorder) Counselor

General Provider Information

NPI Number	:	1982931630
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ADRIAN MARIE GARCIA

Provider Business Mailing Address
First Line	:	27511 CANTERBURY ST
Second Line	:
City	:	SUN CITY
State	:	CA
Zip	:	92585-3993
Country	:	US
Telephone Number	:	951-575-7249
Fax Number	:

Provider Business Practice Location Address
First Line	:	27511 CANTERBURY ST
Second Line	:
City	:	SUN CITY
State	:	CA
Zip	:	92585
Country	:	US
Telephone Number	:	951-575-7249
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/17/2009
Last Update Date	:	11/17/2009

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