MS. LATASHA MCDONALD


Address: 1365 North F Street, San Bernardino, CA 92405-0123
Phone: 9096778065

MS. LATASHA MCDONALD (NPI# 1346600921) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1346600921
Entity Type Individual
Full Name MS. LATASHA MCDONALD
Practice Address 1365 North F Street
San Bernardino
CA 92405-0123
Mailing Address 1365 North F St
San Bernardino
CA 92405-0123
Practice Telephone 9096778065
Mailing Telephone 9096778065
Enumeration Date 2016-02-25
Last Update Date 2016-02-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
4263-R CA Behavioral Health & Social Service Providers

Office Location

Street Address 1365 NORTH F STREET
City SAN BERNARDINO
State CA
Zip Code 92405-0123

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Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

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1477073377 Mack William Tolle Counselor 321 E Carnegie Dr 210, San Bernardino, CA 92415-3012 2017-06-21
1093247215 Traci Stockham Counselor 1925 W College Ave, Apt 185, San Bernardino, CA 92407-3371 2017-03-28
1760938534 Michael Anthony Davis I Counselor 1475 E Date St Apt 118, San Bernardino, CA 92404-8227 2016-08-31
1770944704 Cheryl Fox Counselor 560 N Arrowhead Ave Ste 1b, San Bernardino, CA 92401-1219 2016-03-18
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Competitor

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City SAN BERNARDINO
Zip Code 92405

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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