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NPI Code Detail

MEDICARE: MICHELE MORGAN LAFFEN LMFT

MEDICARE: MICHELE MORGAN LAFFEN 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 TherapistMFC24004CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MFC24004OTHERCALICENSE

General Provider Information

NPI Number : 1578622395
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHELE MORGAN LAFFEN LMFT
Provider Business Mailing Address
First Line : 2171 N FINE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1519
Country : US
Telephone Number : 559-455-2040
Fax Number :
Provider Business Practice Location Address
First Line : 2171 N FINE AVE
Second Line :
City : FRESNO
State : CA
Zip : 93727-1519
Country : US
Telephone Number : 559-455-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/07/2006
Last Update Date : 07/08/2007

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Directions to “ MICHELE MORGAN LAFFEN LMFT” Practice Location

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