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GEORGE W. MARES COUNSELOR NPI 1043485972


NPI Information

NPI: 1043485972
Provider Name: GEORGE W. MARES, COUNSELOR
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
1286 CALLEN ST
VACAVILLE, CA
ZIP 95688
Phone: (707) 447-8982
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George W. Mares, COUNSELOR is an addiction (substance use disorder) counselor in Vacaville, CA. George W. Mares, COUNSELOR NPI is 1043485972. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1286 CALLEN ST
VACAVILLE, CA
ZIP 95688-002
Phone: (707) 447-8982
Fax: (707) 447-3205

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)RI-M0608301137CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14838OTHERCALIFORNIAMEDICAL

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

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