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NPI Code Detail

MEDICARE: MS. NORMA ALICIA HUERTA LMFT

MEDICARE: MS. NORMA ALICIA HUERTA 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
1101YM0800XMental Health Counselor
2106H00000XMarriage & Family Therapist103993CA
3101Y00000XCounselorLMFT103993CA

General Provider Information

NPI Number : 1740513555
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. NORMA ALICIA HUERTA LMFT
Provider Business Mailing Address
First Line : 620 HOWARD AVE APT 98
Second Line :
City : MONTEBELLO
State : CA
Zip : 90640-3447
Country : US
Telephone Number : 323-972-3169
Fax Number :
Provider Business Practice Location Address
First Line : 1891 EFFIE ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90026-1793
Country : US
Telephone Number : 323-644-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/10/2009
Last Update Date : 11/02/2018

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