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General NPI Number Information
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NPI Number | 1063183234
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Entity Type | Organization
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Legal Business Name | EMOTIONAL HEALING, LICENSED CLINICAL SOCIAL WORKER, APC
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Dates
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Enumeration Date | 09/27/2021
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 224 LANDIS AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2609
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Country | US
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Telephone | 619-370-0575
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Fax | 619-691-1144
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Provider Business Mailing Address
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Address Line | 224 LANDIS AVE
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City | CHULA VISTA
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State | CA
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Zip | 91910-2609
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Country | US
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Telephone | 619-370-0575
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Fax | 619-691-1144
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Authorized Official
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Title or Position | OWNER / CEO
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Name | ESPERANZA SANCHEZ
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Credential | LCSW
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Telephone | 619-370-0575
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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