MEDICARE: CARLA LITTO 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
1	106H00000X	Marriage & Family Therapist	100639	CA

General Provider Information

NPI Number	:	1780344242
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARLA LITTO LMFT

Provider Business Mailing Address
First Line	:	3533 MAPLEWOOD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3019
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3533 MAPLEWOOD AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-3019
Country	:	US
Telephone Number	:	424-272-6193
Fax Number	:

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

Provider Enumeration Date	:	12/26/2021
Last Update Date	:	12/26/2021

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Directions to “ CARLA LITTO LMFT” Practice Location

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