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General NPI Number Information
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NPI Number | 1073398145
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Entity Type | Individual
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Provider Name | TREESJE MONET THOMAS M.A., LEP
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Gender | Female
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Dates
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Enumeration Date | 08/28/2023
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Last Update Date | 01/03/2024
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Provider Practice Location Address
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Address Line | 519 E BADILLO ST
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City | COVINA
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State | CA
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Zip | 91723-2803
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Country | US
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Telephone | 626-974-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 16262 ORCHARD ST
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City | FONTANA
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State | CA
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Zip | 92336-5972
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Country | US
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Telephone | 909-721-7731
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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 | 102X00000X
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Taxonomy Name | Poetry Therapist
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number | 4114
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 4114
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 4114
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4114
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License Number State | CA
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