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NPI Code Detail

MEDICARE: NOELLE LARA WITTLIFF LMFT

MEDICARE:   NOELLE LARA WITTLIFF  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 TherapistMFC 46396CA

General Provider Information

NPI Number : 1841477619
Entity Type Code : Individual
Provider Name (Legal Business Name) : NOELLE LARA WITTLIFF LMFT
Provider Business Mailing Address
First Line : 2904 ROWENA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-2042
Country : US
Telephone Number : 323-768-2980
Fax Number :
Provider Business Practice Location Address
First Line : 2904 ROWENA AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90039-2042
Country : US
Telephone Number : 323-768-2980
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/23/2008
Last Update Date : 01/11/2017

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Directions to “ NOELLE LARA WITTLIFF LMFT” Practice Location

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