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NPI Code Detail

MEDICARE: MR. ADAM FURTADO MA, LMFT

MEDICARE: MR. ADAM FURTADO MA, 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 Therapist49529CA

General Provider Information

NPI Number : 1942355318
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. ADAM FURTADO MA, LMFT
Provider Business Mailing Address
First Line : 1301 PINE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3124
Country : US
Telephone Number : 562-216-2178
Fax Number :
Provider Business Practice Location Address
First Line : 1301 PINE AVE
Second Line :
City : LONG BEACH
State : CA
Zip : 90813-3124
Country : US
Telephone Number : 562-216-2178
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/24/2007
Last Update Date : 03/16/2016

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