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NPI Code Detail

MEDICARE: CIARA E DEVEREUX M.A., LMFT

MEDICARE: CIARA E DEVEREUX M.A., LMFT
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
1106H00000XMarriage & Family Therapist134240CA

General Provider Information

NPI Number : 1134597594
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIARA E DEVEREUX M.A., LMFT
Provider Business Mailing Address
First Line : 3253 STEINER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3362
Country : US
Telephone Number : 805-931-6044
Fax Number :
Provider Business Practice Location Address
First Line : 3253 STEINER ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94123-3362
Country : US
Telephone Number : 805-931-6044
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/02/2015
Last Update Date : 12/19/2022

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