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NPI Code Detail

MEDICARE: PATRICIA BARAJAS

MEDICARE: PATRICIA BARAJAS
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 TherapistCA
2106H00000XMarriage & Family TherapistAMFT134352CA

General Provider Information

NPI Number : 1538614029
Entity Type Code : Individual
Provider Name (Legal Business Name) : PATRICIA BARAJAS
Provider Business Mailing Address
First Line : 7601 CANBY AVE STE 3
Second Line :
City : RESEDA
State : CA
Zip : 91335-2979
Country : US
Telephone Number : 818-921-3466
Fax Number :
Provider Business Practice Location Address
First Line : 7601 CANBY AVE STE 3
Second Line :
City : RESEDA
State : CA
Zip : 91335-2979
Country : US
Telephone Number : 818-921-3466
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2016
Last Update Date : 09/20/2022

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1295384238 — SHARON VANNESA ELLIOTT
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Directions to “ PATRICIA BARAJAS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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