Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mary K Niles

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1235540626

Mary K Niles is a Student in an Organized Health Care Education/Training Program in South Pasadena, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
Specialties on file
2
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Practice location Address checks out

205 Pasadena Ave
South Pasadena, CA 91030
Phone: (323) 344-5536
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Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LMFT107824 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1235540626
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedMay 19, 2014
Last updated in NPPESJuly 23, 2018
Mailing address205 Pasadena Ave, South Pasadena, CA 91030-2919

Other providers in South Pasadena