MEDICARE: BELEN BARRAGAN M.S.

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
1	106H00000X	Marriage & Family Therapist	89068	CA

General Provider Information

NPI Number	:	1578823746
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BELEN BARRAGAN M.S.

Provider Business Mailing Address
First Line	:	325 W WASHINGTON STREET
Second Line	:	SUITE 2 #3049
City	:	SAN DIEGO
State	:	CA
Zip	:	92103
Country	:	US
Telephone Number	:	619-800-0653
Fax Number	:

Provider Business Practice Location Address
First Line	:	325 W WASHINGTON STREET
Second Line	:	SUITE 2 #3049
City	:	SAN DIEGO
State	:	CA
Zip	:	92103
Country	:	US
Telephone Number	:	619-800-0653
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2012
Last Update Date	:	06/26/2024

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