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NPI Code Detail

MEDICARE: MS. KALA CARRICK LMFT

MEDICARE:  MS. KALA  CARRICK  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 TherapistLMFT123269CA

General Provider Information

NPI Number : 1972191336
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. KALA CARRICK LMFT
Provider Business Mailing Address
First Line : PO BOX 50164
Second Line :
City : LONG BEACH
State : CA
Zip : 90815-6164
Country : US
Telephone Number : 575-418-0680
Fax Number :
Provider Business Practice Location Address
First Line : 7251 WARNER AVE
Second Line :
City : HUNTINGTON BEACH
State : CA
Zip : 92647-5491
Country : US
Telephone Number : 562-999-2723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/01/2021
Last Update Date : 08/20/2021

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Directions to “ MS. KALA CARRICK LMFT” Practice Location

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