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NPI Code Detail

MEDICARE: MS. JOANNA DENISE CAIN ED.D. ASSOCIATE

MEDICARE:  MS. JOANNA DENISE CAIN  ED.D. ASSOCIATE
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 Therapist139344CA

General Provider Information

NPI Number : 1255475653
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOANNA DENISE CAIN ED.D. ASSOCIATE
Provider Business Mailing Address
First Line : 1820 W FLORENCE AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90047-2123
Country : US
Telephone Number : 310-428-4152
Fax Number :
Provider Business Practice Location Address
First Line : 3200 LONG BEACH BLVD
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-5062
Country : US
Telephone Number : 562-548-6565
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/18/2007
Last Update Date : 05/19/2023

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Directions to “ MS. JOANNA DENISE CAIN ED.D. ASSOCIATE” Practice Location

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