MEDICARE: JESSICA MUNOZ FELIX M.A.

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	101Y00000X	Counselor

General Provider Information

NPI Number	:	1710232830
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JESSICA MUNOZ FELIX M.A.

Provider Business Mailing Address
First Line	:	22042 S SALMON AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-1828
Country	:	US
Telephone Number	:	424-477-4593
Fax Number	:

Provider Business Practice Location Address
First Line	:	22042 S SALMON AVE
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90810-1828
Country	:	US
Telephone Number	:	424-477-4593
Fax Number	:

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

Provider Enumeration Date	:	07/14/2012
Last Update Date	:	07/14/2012

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