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NPI Code Detail

MEDICARE: MRS. MURIEL ELIZABETH PARKER MFCC

MEDICARE: MRS. MURIEL ELIZABETH PARKER MFCC
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 CounselorMFC24774CA

General Provider Information

NPI Number : 1366570988
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. MURIEL ELIZABETH PARKER MFCC
Provider Business Mailing Address
First Line : 1245 W CIENEGA AVE
Second Line : SPACE 28
City : SAN DIMAS
State : CA
Zip : 91773-2855
Country : US
Telephone Number : 909-394-5995
Fax Number : 909-394-5995
Provider Business Practice Location Address
First Line : 867 ATCHISON ST
Second Line :
City : PASADENA
State : CA
Zip : 91104-2314
Country : US
Telephone Number : 626-798-0915
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2007
Last Update Date : 07/08/2007

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