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NPI Code Detail

MEDICARE: MARCOLA CASON

MEDICARE: MARCOLA CASON
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 Therapist111864CA

General Provider Information

NPI Number : 1669885042
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARCOLA CASON
Provider Business Mailing Address
First Line : 811 AUSTIN AVE APT 5
Second Line :
City : INGLEWOOD
State : CA
Zip : 90302-2717
Country : US
Telephone Number : 310-686-6189
Fax Number :
Provider Business Practice Location Address
First Line : 5220 W WASHINGTON BLVD
Second Line :
City : LOS ANGELES
State : CA
Zip : 90016-1331
Country : US
Telephone Number : 310-686-6189
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/03/2014
Last Update Date : 01/29/2026

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Directions to “ MARCOLA CASON ” Practice Location

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