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NPI Code Detail

MEDICARE: MRS. SHEILA ALFARO LCSW

MEDICARE: MRS. SHEILA ALFARO LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorCA
2101YM0800XMental Health Counselor69204CA
3101YP2500XProfessional Counselor
41041C0700XClinical Social Worker69204CA

General Provider Information

NPI Number : 1033304845
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHEILA ALFARO LCSW
Provider Business Mailing Address
First Line : 50 W LEMON AVE STE 4
Second Line :
City : MONROVIA
State : CA
Zip : 91016-5112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2750 E WASHINGTON BLVD STE 230
Second Line :
City : PASADENA
State : CA
Zip : 91107-1449
Country : US
Telephone Number : 626-296-8900
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2007
Last Update Date : 03/15/2023

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