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NPI Code Detail

MEDICARE: MR. MAX JAMES KAYES MFT

MEDICARE: MR. MAX JAMES KAYES MFT
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 TherapistMFC22998CA

General Provider Information

NPI Number : 1306905492
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MAX JAMES KAYES MFT
Provider Business Mailing Address
First Line : 12810 HEACOCK ST STE B202
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-2873
Country : US
Telephone Number : 951-247-6542
Fax Number :
Provider Business Practice Location Address
First Line : 12810 HEACOCK ST STE B202
Second Line :
City : MORENO VALLEY
State : CA
Zip : 92553-2873
Country : US
Telephone Number : 951-247-6542
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/06/2006
Last Update Date : 03/14/2018

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Directions to “ MR. MAX JAMES KAYES MFT” Practice Location

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