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NPI Code Detail

MEDICARE: MR. ANDRE R CUMMINS

MEDICARE: MR. ANDRE R CUMMINS
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1992986483
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ANDRE R CUMMINS
Provider Business Mailing Address
First Line : 3780 ROSIN CT
Second Line : SUITE #110
City : SACRAMENTO
State : CA
Zip : 95834-1646
Country : US
Telephone Number : 916-363-1553
Fax Number :
Provider Business Practice Location Address
First Line : 3870 ROSIN CT
Second Line : SUITE 130
City : SACRAMENTO
State : CA
Zip : 95834-1620
Country : US
Telephone Number : 916-363-1553
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/26/2007
Last Update Date : 12/14/2015

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