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General NPI Number Information
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NPI Number | 1013864370
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Entity Type | Organization
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Legal Business Name | RISING PINES COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/14/2026
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Last Update Date | 03/14/2026
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Provider Practice Location Address
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Address Line | 2230 W CHAPMAN AVE STE 126
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City | ORANGE
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State | CA
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Zip | 92868-2316
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Country | US
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Telephone | 714-408-9930
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Fax |
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Provider Business Mailing Address
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Address Line | 1439 W CHAPMAN AVE STE 191
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City | ORANGE
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State | CA
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Zip | 92868-2738
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Country | US
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Telephone | 714-408-9930
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Fax |
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Authorized Official
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Title or Position | CEO/CLINICAL THERAPIST
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Name | KAYLA PINEDA
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Credential | LCSW
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Telephone | 909-243-1994
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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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