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NPI Code Detail

MEDICARE: MS. ANNA MARIE CARMICHAEL IMF

MEDICARE: MS. ANNA MARIE CARMICHAEL IMF
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 Therapist49960CA

General Provider Information

NPI Number : 1255469011
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNA MARIE CARMICHAEL IMF
Provider Business Mailing Address
First Line : 2206 RIVER RUN DR
Second Line : #35
City : SAN DIEGO
State : CA
Zip : 92108-5883
Country : US
Telephone Number : 858-569-2179
Fax Number :
Provider Business Practice Location Address
First Line : 3002 ARMSTRONG ST
Second Line :
City : SAN DIEGO
State : CA
Zip : 92111-5702
Country : US
Telephone Number : 858-569-2179
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/01/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ANNA MARIE CARMICHAEL IMF” Practice Location

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