MIVEN TRAGESER LA CHILD THERAPIST NPI 1104330547

NPI Information

NPI: 1104330547
Provider Name: MIVEN TRAGESER, LA CHILD THERAPIST

Other Name: MIVEN TRAGESER, MFT

Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
6310 SAN VICENTE BLVD STE 415
LOS ANGELES, CA
ZIP 90048
Phone: (323) 717-6803
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MIVEN TRAGESER, LA CHILD THERAPIST is a professional counselor in Los Angeles, CA. MIVEN TRAGESER, LA CHILD THERAPIST NPI is 1104330547. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Miven Trageser, Mft.

The provider's business location address is:

6310 SAN VICENTE BLVD STE 415
LOS ANGELES, CA
ZIP 90048-457
Phone: (323) 717-6803

The provider's authorized official is Miven Booth Trageser .
The authorized official title is Principal and has the following contact phone number (323) 813-8238.

The enumeration date for this NPI number is 11/21/2017 and was last updated on 11/21/2017.

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	101Y00000X	Counselor		1339	CALIFORNIA	No
2	101YP2500X	Counselor	Professional	1339	CALIFORNIA	Yes
3	106H00000X	Marriage & Family Therapist		49725	CALIFORNIA	No

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: 4/28/2024

NPI Synchronization or Removal

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