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NPI Code Detail

MEDICARE: CAILIN MARIE TICKLE MS, LMFT

MEDICARE: CAILIN MARIE TICKLE MS, 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 Therapist6971892ID
2106H00000XMarriage & Family Therapist145813CA

General Provider Information

NPI Number : 1184483752
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAILIN MARIE TICKLE MS, LMFT
Provider Business Mailing Address
First Line : 5743 CORSA AVE STE 221
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-6451
Country : US
Telephone Number : 805-915-8019
Fax Number :
Provider Business Practice Location Address
First Line : 5743 CORSA AVE STE 221
Second Line :
City : WESTLAKE VILLAGE
State : CA
Zip : 91362-6451
Country : US
Telephone Number : 805-915-8019
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/18/2024
Last Update Date : 05/11/2026

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Directions to “ CAILIN MARIE TICKLE MS, LMFT” Practice Location

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