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NPI Code Detail

MEDICARE: CHARLA EXAVIER

MEDICARE: CHARLA EXAVIER
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

General Provider Information

NPI Number : 1770611188
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHARLA EXAVIER
Provider Business Mailing Address
First Line : 1146 CHAGAL AVE
Second Line :
City : LANCASTER
State : CA
Zip : 93535-4359
Country : US
Telephone Number : 661-948-7043
Fax Number :
Provider Business Practice Location Address
First Line : 3455 PERCY ST
Second Line :
City : LOS ANGELES
State : CA
Zip : 90023-1716
Country : US
Telephone Number : 323-268-2100
Fax Number : 323-268-2460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/28/2007
Last Update Date : 07/08/2007

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Directions to “ CHARLA EXAVIER ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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