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NPI Code Detail

MEDICARE: ANNETTE J REYES LMFT

MEDICARE:   ANNETTE J REYES  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 Therapist119848CA

General Provider Information

NPI Number : 1194165472
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANNETTE J REYES LMFT
Provider Business Mailing Address
First Line : 7525 W MANCHESTER AVE APT 521
Second Line :
City : LOS ANGELES
State : CA
Zip : 90045-2348
Country : US
Telephone Number : 310-259-2045
Fax Number :
Provider Business Practice Location Address
First Line : 1453 16TH ST
Second Line :
City : SANTA MONICA
State : CA
Zip : 90404-2715
Country : US
Telephone Number : 310-264-6646
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/01/2013
Last Update Date : 03/17/2026

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