Kelly Kalei Wachter MFT

NPI 1164546115 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1164546115
Gender Female
Enumeration Date 03/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3200 MOTOR AVE
LOS ANGELES CA, 90034-3710, US
Phone (310) 836-1223
Fax
Business Location
710 N DILLON ST APT 6
LOS ANGELES CA, 90026-3638, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC43178
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According to our database, Mrs. Kelly Kalei Wachter MFT NPI is 1164546115, taxonomy code is 106H00000X and license number is MFC43178, license state is located at California. Kelly Kalei Wachter MFT physically located at 3200 Motor Ave, Los Angeles CA, 90034-3710. NPI Number Kelly Kalei Wachter MFT has the Individual type.

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1164546115 NPI number is provided on an as is basis without warranty of any kind. 1164546115 is maintained by the National Plan & Provider Enumeration System. The contents of Kelly Kalei Wachter MFT are for informational purposes only.