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General NPI Number Information
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NPI Number | 1003385949
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Entity Type | Organization
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Legal Business Name | OCCS OC COUNSELING SERVICES
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Dates
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Enumeration Date | 11/21/2018
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Last Update Date | 04/13/2019
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Provider Practice Location Address
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Address Line | 12821 NEWPORT AVE
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City | TUSTIN
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State | CA
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Zip | 92780-2711
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Country | US
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Telephone | 949-424-3543
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Fax | 714-665-8023
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Provider Business Mailing Address
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Address Line | 11078 EMERSON WAY
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City | STANTON
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State | CA
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Zip | 90680-2820
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Country | US
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Telephone | 949-424-3543
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | PATRICIA MORALES
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Credential | LCSW
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Telephone | 949-424-3543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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