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NPI Code Detail

MEDICARE: MS. ANGELA MICHELE TRATHEN LMFT #90483

MEDICARE: MS. ANGELA MICHELE TRATHEN LMFT #90483
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 Therapist

General Provider Information

NPI Number : 1386883494
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANGELA MICHELE TRATHEN LMFT #90483
Provider Business Mailing Address
First Line : 13258 ALLISON RANCH RD
Second Line :
City : GRASS VALLEY
State : CA
Zip : 95945
Country : US
Telephone Number : 530-263-0626
Fax Number :
Provider Business Practice Location Address
First Line : 825 ZION ST
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-2922
Country : US
Telephone Number : 530-263-0626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2009
Last Update Date : 07/16/2025

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