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NPI Code Detail

MEDICARE: MS. JOAN ANN HABSCHMIDT M.F.T.

MEDICARE:  MS. JOAN ANN HABSCHMIDT  M.F.T.
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 TherapistM.F.T.22636CA

General Provider Information

NPI Number : 1861628042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. JOAN ANN HABSCHMIDT M.F.T.
Provider Business Mailing Address
First Line : 12012 WILSHIRE BLVD
Second Line : SUITE 201
City : LOS ANGELES
State : CA
Zip : 90025-1207
Country : US
Telephone Number : 310-207-6334
Fax Number :
Provider Business Practice Location Address
First Line : 12012 WILSHIRE BLVD
Second Line : SUITE 201
City : LOS ANGELES
State : CA
Zip : 90025-1207
Country : US
Telephone Number : 310-207-6334
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2009
Last Update Date : 06/02/2009

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Directions to “ MS. JOAN ANN HABSCHMIDT M.F.T.” Practice Location

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