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NPI Code Detail

MEDICARE: MISS EMILIE SIRAKI AMFT

MEDICARE:  MISS EMILIE  SIRAKI  AMFT
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
1106S00000XBehavior Technician
2106H00000XMarriage & Family Therapist148977CA

General Provider Information

NPI Number : 1164175709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS EMILIE SIRAKI AMFT
Provider Business Mailing Address
First Line : 650 HAMPSHIRE RD STE 200
Second Line :
City : WESTLAKE VLG
State : CA
Zip : 91361-2540
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 650 HAMPSHIRE RD STE 200
Second Line :
City : WESTLAKE VLG
State : CA
Zip : 91361-2540
Country : US
Telephone Number : 805-601-6700
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/03/2022
Last Update Date : 06/09/2025

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Directions to “ MISS EMILIE SIRAKI AMFT” Practice Location

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