MERRY FRANCES WALENSA


Address: 200 Macdonald Ave, Richmond, CA 94801-2934
Phone: 5102154868

MERRY FRANCES WALENSA (NPI# 1457820821) 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) 1457820821
Entity Type Individual
Full Name MERRY FRANCES WALENSA
Practice Address 200 Macdonald Ave
Richmond
CA 94801-2934
Mailing Address 2oo Macdonald Ave
Richmond
CA 94801
Practice Telephone 5102154868
Mailing Telephone 5102154868
Enumeration Date 2018-11-15
Last Update Date 2018-11-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
322 CA Behavioral Health & Social Service Providers

Office Location

Street Address 200 MACDONALD AVE
City RICHMOND
State CA
Zip Code 94801-2934

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1720154636 Marianne Philippek Nurse Practitioner 901 Nevin Avenue, Richmond, CA 94801 2006-11-24
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City RICHMOND
Zip Code 94801

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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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