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NPI Code Detail

MEDICARE: MR. ALTON C. CARSWELL M.A., MFT INTERN

MEDICARE: MR. ALTON C. CARSWELL M.A., MFT INTERN
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
1101YM0800XMental Health Counselor62431CA
2106H00000XMarriage & Family Therapist62431CA
3106H00000XMarriage & Family Therapist91005CA
4106H00000XMarriage & Family Therapist109198CA

General Provider Information

NPI Number : 1184942872
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ALTON C. CARSWELL M.A., MFT INTERN
Provider Business Mailing Address
First Line : 3049 E 4TH ST APT A
Second Line :
City : LONG BEACH
State : CA
Zip : 90814-7299
Country : US
Telephone Number : 562-235-0177
Fax Number :
Provider Business Practice Location Address
First Line : 2500 N PALM CANYON DR STE A4
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-1866
Country : US
Telephone Number : 442-268-7000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/05/2010
Last Update Date : 10/17/2024

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