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NPI Code Detail

MEDICARE: MARTHA ALICE CARR MFT

MEDICARE:   MARTHA ALICE CARR  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
1101YM0800XMental Health CounselorMFT30697CA

General Provider Information

NPI Number : 1407870660
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARTHA ALICE CARR MFT
Provider Business Mailing Address
First Line : 3331 BLAIR DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90068-1409
Country : US
Telephone Number : 323-876-3504
Fax Number : 323-876-3504
Provider Business Practice Location Address
First Line : 3331 BLAIR DR
Second Line :
City : LOS ANGELES
State : CA
Zip : 90068-1409
Country : US
Telephone Number : 323-876-3504
Fax Number : 323-876-3504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/27/2006
Last Update Date : 03/13/2026

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Directions to “ MARTHA ALICE CARR MFT” Practice Location

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