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NPI Code Detail

MEDICARE: CHRISTINA CAUBLE

MEDICARE: CHRISTINA CAUBLE
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
1101YA0400XAddiction (Substance Use Disorder) Counselor8147CA
2101YM0800XMental Health CounselorLPCC22191CA

General Provider Information

NPI Number : 1588170179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA CAUBLE
Provider Business Mailing Address
First Line : 3143 W 180TH ST
Second Line :
City : TORRANCE
State : CA
Zip : 90504-4013
Country : US
Telephone Number : 310-634-3788
Fax Number :
Provider Business Practice Location Address
First Line : 15519 CRENSHAW BLVD
Second Line :
City : GARDENA
State : CA
Zip : 90249-4525
Country : US
Telephone Number : 310-679-9126
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/19/2017
Last Update Date : 03/12/2026

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Directions to “ CHRISTINA CAUBLE ” Practice Location

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