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NPI Code Detail

MEDICARE: SOFIA CASTANEDA PRIETO MFT

MEDICARE: SOFIA CASTANEDA PRIETO MFT
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 Therapist43448CA

General Provider Information

NPI Number : 1861561433
Entity Type Code : Individual
Provider Name (Legal Business Name) : SOFIA CASTANEDA PRIETO MFT
Provider Business Mailing Address
First Line : 490 S FARRELL DR STE C208
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7944
Country : US
Telephone Number : 760-325-4088
Fax Number : 760-778-3781
Provider Business Practice Location Address
First Line : 333 S FARRELL DR
Second Line :
City : PALM SPRINGS
State : CA
Zip : 92262-7905
Country : US
Telephone Number : 760-416-1360
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2006
Last Update Date : 09/15/2022

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Directions to “ SOFIA CASTANEDA PRIETO MFT” Practice Location

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