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NPI Code Detail

MEDICARE: CAITLIN E PELL LMFT

MEDICARE:   CAITLIN E PELL  LMFT
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 Therapist152675CA

General Provider Information

NPI Number : 1447838453
Entity Type Code : Individual
Provider Name (Legal Business Name) : CAITLIN E PELL LMFT
Provider Business Mailing Address
First Line : 194 GOLD FLAT RD
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-3237
Country : US
Telephone Number : 530-205-5709
Fax Number :
Provider Business Practice Location Address
First Line : 194 GOLD FLAT RD
Second Line :
City : NEVADA CITY
State : CA
Zip : 95959-3237
Country : US
Telephone Number : 530-205-5709
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2021
Last Update Date : 02/17/2026

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