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General NPI Number Information
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NPI Number | 1093268534
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Entity Type | Organization
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Legal Business Name | GLENN L ABRAMS MARRIAGE, FAMILY, & CHILD COUNSELING INC.
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 08/02/2016
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Provider Practice Location Address
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Address Line | 448 E FOOTHILL BLVD STE 208
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City | SAN DIMAS
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State | CA
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Zip | 91773-1221
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Country | US
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Telephone | 909-718-9354
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Fax | 909-274-7207
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Provider Business Mailing Address
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Address Line | 448 E FOOTHILL BLVD STE 208
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City | SAN DIMAS
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State | CA
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Zip | 91773-1221
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LIC. MARRIAGE & FAMILY THERAPIST
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Name | GLENN L ABRAMS
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Credential |
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Telephone | 909-718-9354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PCCI1279
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License Number State | CA
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