SEAN DANIEL CONVER NPI 1265904742

NPI Information

NPI: 1265904742
Provider Name: SEAN DANIEL CONVER
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
3000 PARK AVE APT 35
MERCED, CA
ZIP 95348
Phone: (209) 285-7571
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Sean Daniel Conver is an addiction (substance use disorder) counselor in Merced, CA. Sean Daniel Conver NPI is 1265904742. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3000 PARK AVE APT 35
MERCED, CA
ZIP 95348-430
Phone: (209) 285-7571

The enumeration date for this NPI number is 12/21/2018 and was last updated on 12/21/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	92209840A48348	OTHER	CALIFORNIA	MEDICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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