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NPI Code Detail

MEDICARE: EMILY ROSE ADILI MA, LMFT

MEDICARE: EMILY ROSE ADILI MA, 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 Therapist129450CA

General Provider Information

NPI Number : 1710491485
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMILY ROSE ADILI MA, LMFT
Provider Business Mailing Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 310-922-3183
Fax Number :
Provider Business Practice Location Address
First Line : 6320 CANOGA AVE STE 1500
Second Line :
City : WOODLAND HILLS
State : CA
Zip : 91367-2517
Country : US
Telephone Number : 310-922-3183
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/16/2017
Last Update Date : 02/16/2022

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Directions to “ EMILY ROSE ADILI MA, LMFT” Practice Location

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