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Mike Husseini
Student in an Organized Health Care Education/Training Program in Rio Vista, California
NPI 1407394190

Mike Husseini is a Student in an Organized Health Care Education/Training Program based in Rio Vista, CA. Mike Husseini practices in Rio Vista, CA. The NPI Number for Mike Husseini is 1407394190 and holds a License No. (California).

The current practice location address for Mike Husseini is 628 Montezuma St, Rio Vista, CA and can be reached out via phone at 707-374-5243.

Location: 628 Montezuma St, Rio Vista, CA, 94571-1622
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1407394190
Provider Name
Mike Husseini
Credential
Provider Entity Type
Individual
Gender
Male
Address
628 Montezuma St, Rio Vista, CA, 94571-1622
Phone Number
707-374-5243
Fax Number
Provider Enumeration Date
02/02/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1295880821 01 COMMUNITY/BEHAVIORAL HEALTH
institution
Provider Business Practice Location Address Details
Address
628 Montezuma St
City
Rio Vista
State
California
Zip
94571-1622
Phone Number
707-374-5243
Fax Number
person
Provider Business Mailing Address Details
Address
628 Montezuma St
City
Rio Vista
State
California
Zip
94571-1622
Phone Number
707-374-5243
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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