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NPI Code Detail

MEDICARE: BARAN KAYLA FARHANG AMFT, APCC

MEDICARE: BARAN KAYLA FARHANG AMFT, APCC
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
1101YM0800XMental Health CounselorAPCC20312CA
2106H00000XMarriage & Family TherapistAMFT157380CA

General Provider Information

NPI Number : 1346084563
Entity Type Code : Individual
Provider Name (Legal Business Name) : BARAN KAYLA FARHANG AMFT, APCC
Provider Business Mailing Address
First Line : 2045 SANTA CLARA AVE APT E
Second Line :
City : ALAMEDA
State : CA
Zip : 94501-2739
Country : US
Telephone Number : 510-603-6114
Fax Number :
Provider Business Practice Location Address
First Line : 3021 CITRUS CIR STE 240
Second Line :
City : WALNUT CREEK
State : CA
Zip : 94598-2691
Country : US
Telephone Number : 510-603-6114
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/21/2024
Last Update Date : 08/21/2025

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