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General NPI Number Information
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NPI Number | 1073405155
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Entity Type | Organization
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Legal Business Name | ACHIEVE YOUR TRUE POTENTIAL, LLC
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Dates
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Enumeration Date | 07/15/2025
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 4142 ADAMS AVE # 103-426
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City | SAN DIEGO
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State | CA
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Zip | 92116-2592
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Country | US
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Telephone | 619-567-7399
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Fax | 619-567-7399
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Provider Business Mailing Address
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Address Line | 463688 STATE ROAD 200 STE 1-362
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City | YULEE
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State | FL
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Zip | 32097-0304
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Country | US
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Telephone | 619-567-7399
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Fax | 619-567-7399
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Authorized Official
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Title or Position | MANAGER
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Name | ESMERALDA SOLORZANO CHRISTENSEN
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Credential | LMFT, LPCC
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Telephone | 619-567-7399
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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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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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