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General NPI Number Information
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NPI Number | 1073303855
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Entity Type | Organization
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Legal Business Name | GUIDED GROWTH THERAPY GROUP A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 08/11/2025
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Provider Practice Location Address
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Address Line | 1603 CALIFORNIA AVE STE 137
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City | BAKERSFIELD
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State | CA
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Zip | 93304-1346
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Country | US
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Telephone | 661-404-4123
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Fax | 661-404-4123
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Provider Business Mailing Address
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Address Line | 10900 ARTIST CT
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2879
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Country | US
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Telephone | 661-404-4123
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Fax | 661-404-4123
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MRS. KIMBERLY ANN COBBS
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Credential |
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Telephone | 661-404-4123
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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