MEDICARE: MEGAN C AHRENS

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
1	106H00000X	Marriage & Family Therapist	127128	CA

General Provider Information

NPI Number	:	1225782238
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGAN C AHRENS

Provider Business Mailing Address
First Line	:	829 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-2611
Country	:	US
Telephone Number	:	714-423-3960
Fax Number	:

Provider Business Practice Location Address
First Line	:	829 E 4TH ST
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-2611
Country	:	US
Telephone Number	:	714-423-3960
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/08/2022
Last Update Date	:	02/17/2022

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