MEDICARE: ALICE NICOLE OUEIJAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number State
1	101YP2500X	Professional Counselor	CA
2	106H00000X	Marriage & Family Therapist	CA
3	101YS0200X	School Counselor	CA

General Provider Information

NPI Number	:	1760347900
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICE NICOLE OUEIJAN

Provider Business Mailing Address
First Line	:	1828 E 5TH ST APT 5
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90802-2018
Country	:	US
Telephone Number	:	626-252-3343
Fax Number	:

Provider Business Practice Location Address
First Line	:	1637 LONG BEACH BLVD
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90813-1929
Country	:	US
Telephone Number	:	562-283-4456
Fax Number	:

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

Provider Enumeration Date	:	12/19/2025
Last Update Date	:	12/19/2025

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Directions to “ ALICE NICOLE OUEIJAN ” Practice Location

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