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NPI Code Detail

MEDICARE: CHRISTINA YVETTE PADILLA

MEDICARE: CHRISTINA YVETTE PADILLA
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

General Provider Information

NPI Number : 1992243794
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA YVETTE PADILLA
Provider Business Mailing Address
First Line : 399 TAYLOR BLVD
Second Line : SUITE 115
City : PLEASANT HILL
State : CA
Zip : 94523-2297
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2387 LISA LN
Second Line :
City : PLEASANT HILL
State : CA
Zip : 94523-3949
Country : US
Telephone Number : 925-677-7267
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/01/2017
Last Update Date : 02/01/2017

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Directions to “ CHRISTINA YVETTE PADILLA ” Practice Location

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