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NPI Code Detail

MEDICARE: CIERRA WEST BS

MEDICARE: CIERRA WEST BS
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 Therapist0717002053VA
2106H00000XMarriage & Family Therapist107202CA

General Provider Information

NPI Number : 1982028049
Entity Type Code : Individual
Provider Name (Legal Business Name) : CIERRA WEST BS
Provider Business Mailing Address
First Line : 117 N B ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-6901
Country : US
Telephone Number : 805-315-9070
Fax Number : 805-737-6601
Provider Business Practice Location Address
First Line : 117 N B ST
Second Line :
City : LOMPOC
State : CA
Zip : 93436-6901
Country : US
Telephone Number : 805-315-9070
Fax Number : 805-737-6601
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2014
Last Update Date : 03/23/2026

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Directions to “ CIERRA WEST BS” Practice Location

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