MISS ANGIE SOPHIA IRAHETA NPI 1063929693

NPI Information

NPI: 1063929693
Provider Name: MISS ANGIE SOPHIA IRAHETA
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
13130 BURBANK BLVD
SHERMAN OAKS, CA
ZIP 91401
Phone: (818) 781-0360
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MISS Angie Sophia Iraheta is a mental health counselor in Sherman Oaks, CA. MISS Angie Sophia Iraheta NPI is 1063929693. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

13130 BURBANK BLVD
SHERMAN OAKS, CA
ZIP 91401
Phone: (818) 781-0360

The enumeration date for this NPI number is 1/4/2018 and was last updated on 11/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	106S00000X	Behavior Technician				No
2	101YM0800X	Counselor	Mental Health	ASW84476	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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