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NPI Code Detail

MEDICARE: KATHERINE CARTER LMFT

MEDICARE: KATHERINE CARTER 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 Therapist51278CA

General Provider Information

NPI Number : 1184331969
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE CARTER LMFT
Provider Business Mailing Address
First Line : PO BOX 50462
Second Line :
City : PASADENA
State : CA
Zip : 91115-0462
Country : US
Telephone Number : 626-470-7725
Fax Number :
Provider Business Practice Location Address
First Line : 867 ATCHISON ST
Second Line :
City : PASADENA
State : CA
Zip : 91104-2314
Country : US
Telephone Number : 626-470-7725
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2022
Last Update Date : 11/01/2022

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