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NPI Code Detail

MEDICARE: CHILD AND FAMILY GUIDANCE CENTER

MEDICARE: CHILD AND FAMILY GUIDANCE CENTER
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
1251B00000XCase Management Agency
22084P0800XPsychiatry Physician
3225400000XRehabilitation Practitioner
4225C00000XRehabilitation Counselor
5390200000XStudent in an Organized Health Care Education/Training Program
6103TC0700XClinical Psychologist
71041C0700XClinical Social Worker
8106H00000XMarriage & Family Therapist
9171M00000XCase Manager/Care Coordinator
10172V00000XCommunity Health Worker
11251S00000XCommunity/Behavioral Health Agency

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1396870267
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHILD AND FAMILY GUIDANCE CENTER
Provider Business Mailing Address
First Line : 9650 ZELZAH AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-2003
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9650 ZELZAH AVE
Second Line :
City : NORTHRIDGE
State : CA
Zip : 91325-2003
Country : US
Telephone Number : 818-739-5125
Fax Number :
Authorized Official
Title or Position : CHIEF OPERATING OFFICER
Name : DR. KATHLEEN ELIZABETH WELCH TORRES
Credential : PH.D.
Telephone Number : 818-739-5148
Provider Enumeration Date : 02/22/2007
Last Update Date : 05/24/2023

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Directions to “CHILD AND FAMILY GUIDANCE CENTER ” Practice Location

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