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NPI Code Detail

MEDICARE: MISS SARA E. HUISH C.A.T.C.

MEDICARE: MISS SARA E. HUISH C.A.T.C.
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 TherapistIMF104041CA
2101YA0400XAddiction (Substance Use Disorder) Counselor040980CA

General Provider Information

NPI Number : 1366573313
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS SARA E. HUISH C.A.T.C.
Provider Business Mailing Address
First Line : 1125 W 6TH ST STE 103
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1896
Country : US
Telephone Number : 213-241-0979
Fax Number : 213-241-0925
Provider Business Practice Location Address
First Line : 1125 W 6TH ST STE 103
Second Line :
City : LOS ANGELES
State : CA
Zip : 90017-1896
Country : US
Telephone Number : 213-241-0979
Fax Number : 213-241-0925
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 04/20/2018

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