MEDICARE: CREATING INTUITION

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

General Provider Information

NPI Number	:	1982267746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CREATING INTUITION

Provider Business Mailing Address
First Line	:	1910 W SUNSET BLVD STE 440
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3262
Country	:	US
Telephone Number	:	818-486-3009
Fax Number	:

Provider Business Practice Location Address
First Line	:	1910 W SUNSET BLVD STE 440
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90026-3262
Country	:	US
Telephone Number	:	818-486-3009
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	B ROOKE SPAHN
Credential	:	LMFT
Telephone Number	:	818-486-3009

Provider Enumeration Date	:	04/17/2019
Last Update Date	:	06/11/2019

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Directions to “CREATING INTUITION ” Practice Location

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