MEDICARE: AINSLIE KAUFER 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
1	101YM0800X	Mental Health Counselor	MFC39151	CA

General Provider Information

NPI Number	:	1326375411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AINSLIE KAUFER MFT

Provider Business Mailing Address
First Line	:	137 N LARCHMONT BLVD # 714
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3704
Country	:	US
Telephone Number	:	323-365-7300
Fax Number	:

Provider Business Practice Location Address
First Line	:	137 N LARCHMONT BLVD # 714
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90004-3704
Country	:	US
Telephone Number	:	323-365-7300
Fax Number	:

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

Provider Enumeration Date	:	11/10/2009
Last Update Date	:	11/10/2009

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