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General NPI Number Information
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NPI Number | 1043014913
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Entity Type | Individual
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Provider Name | CAROL MASSEY M.A., APCC
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/22/2025
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Provider Practice Location Address
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Address Line | 411 N INDIAN HILL BLVD
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City | CLAREMONT
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State | CA
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Zip | 91711-4614
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Country | US
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Telephone | 626-214-8384
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Fax |
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Provider Business Mailing Address
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Address Line | 2412 8TH ST
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City | LA VERNE
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State | CA
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Zip | 91750-4549
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Country | US
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Telephone | 817-201-2028
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 19054
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License Number State | CA
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