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NPI Code Detail

MEDICARE: KAREN PASCOE AMFT

MEDICARE: KAREN PASCOE AMFT
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 Therapist130422CA

General Provider Information

NPI Number : 1689317489
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN PASCOE AMFT
Provider Business Mailing Address
First Line : PO BOX 606
Second Line :
City : FAIRFAX
State : CA
Zip : 94978-0606
Country : US
Telephone Number : 415-779-0920
Fax Number :
Provider Business Practice Location Address
First Line : 300 TAMAL PLZ STE 220
Second Line :
City : CORTE MADERA
State : CA
Zip : 94925-1136
Country : US
Telephone Number : 415-779-0920
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/19/2022
Last Update Date : 04/19/2022

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