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General NPI Number Information
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NPI Number | 1043894157
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Entity Type | Organization
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Legal Business Name | TLC CORNERSTONE, INC.
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Dates
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Enumeration Date | 05/06/2021
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Last Update Date | 05/06/2021
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Provider Practice Location Address
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Address Line | 771 JAMACHA RD. #243
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City | EL CAJON
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State | CA
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Zip | 92019-3202
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Country | US
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Telephone | 619-396-0367
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Fax |
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Provider Business Mailing Address
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Address Line | 771 JAMACHA RD # 243
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City | EL CAJON
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State | CA
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Zip | 92019-3202
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Country | US
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Telephone | 619-396-0367
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TAMMY LYNN CARTER
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Credential | LMFT
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Telephone | 619-396-0367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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