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NPI Code Detail

MEDICARE: KAREN SUE MCPHEETERS

MEDICARE: KAREN SUE MCPHEETERS
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
1101Y00000XCounselor190008FNCA

General Provider Information

NPI Number : 1992062046
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN SUE MCPHEETERS
Provider Business Mailing Address
First Line : 4445 BURNS STREET
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029
Country : US
Telephone Number : 323-664-8940
Fax Number : 323-664-1786
Provider Business Practice Location Address
First Line : 4445 BURNS AVE
Second Line :
City : LOS ANGELES
State : CA
Zip : 90029-2702
Country : US
Telephone Number : 323-664-8940
Fax Number : 323-664-1786
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2012
Last Update Date : 04/13/2012

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Directions to “ KAREN SUE MCPHEETERS ” Practice Location

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