MEDICARE: CARRIE HARPER

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	MFC33494	CA

General Provider Information

NPI Number	:	1689786451
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARRIE HARPER

Provider Business Mailing Address
First Line	:	8421 AUBURN BLVD
Second Line	:	BUILDING 3
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0359
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8421 AUBURN BLVD
Second Line	:	BUILDING 3
City	:	CITRUS HEIGHTS
State	:	CA
Zip	:	95610-0359
Country	:	US
Telephone Number	:	916-722-6100
Fax Number	:

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

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	07/08/2007

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Directions to “ CARRIE HARPER ” Practice Location

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