Basic Information
Provider Information
NPI: 1003140682
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FIGUEROA
FirstName: CLAUDIO
MiddleName:  
NamePrefix: MR.
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 835 CASTRO ST
Address2:  
City: MARTINEZ
State: CA
PostalCode: 945531611
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 835 CASTRO ST
Address2:  
City: MARTINEZ
State: CA
PostalCode: 945531611
CountryCode: US
TelephoneNumber: 9256461143
FaxNumber: 9256461155
Other Information
ProviderEnumerationDate: 09/29/2009
LastUpdateDate: 09/29/2009
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101Y00000X  Y Behavioral Health & Social Service ProvidersCounselor 

No ID Information.


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