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General NPI Number Information
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NPI Number | 1053278853
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Entity Type | Organization
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Legal Business Name | ERENGO SUTO INC MARRIAGE FAMILY CHILD THERAPIST
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 4802 HOLLOW CORNER RD UNIT 122
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City | CULVER CITY
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State | CA
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Zip | 90230-8556
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Country | US
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Telephone | 310-359-0906
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Fax |
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Provider Business Mailing Address
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Address Line | 4802 HOLLOW CORNER RD UNIT 122
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City | CULVER CITY
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State | CA
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Zip | 90230-8556
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Country | US
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Telephone | 310-359-0906
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. ERENGO ENIKO SUTO
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Credential | LMFT
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Telephone | 310-359-0906
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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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