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NPI Code Detail

MEDICARE: MR. JUAN FRANCISCO CAMARENA JR. LMFT

MEDICARE:  MR. JUAN FRANCISCO CAMARENA JR. 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 TherapistMFC43486CA

General Provider Information

NPI Number : 1588730782
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JUAN FRANCISCO CAMARENA JR. LMFT
Provider Business Mailing Address
First Line : 1465 30TH ST STE K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-3497
Country : US
Telephone Number : 619-428-1000
Fax Number : 619-428-1091
Provider Business Practice Location Address
First Line : 1465 30TH ST STE K
Second Line :
City : SAN DIEGO
State : CA
Zip : 92154-3497
Country : US
Telephone Number : 619-428-1000
Fax Number : 619-428-1091
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/28/2006
Last Update Date : 03/16/2011

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Directions to “ MR. JUAN FRANCISCO CAMARENA JR. LMFT” Practice Location

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