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NPI 1093902819

NPI 1093902819 : ESTHER N GOBRIAL M.S. LMFT : SANTA MONICA, CA

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General NPI Number Information
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    NPI Number           |    1093902819
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    Entity Type          |    Individual 
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    Provider Name        |    ESTHER N GOBRIAL M.S. LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/25/2007
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    Last Update Date     |    02/14/2017
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Provider Practice Location Address
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    Address Line         |    1243 7TH ST STE B 
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90401-1937
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    Country              |    US
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    Telephone            |    800-560-8518
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1937 
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90406-1937
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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    |    
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFC 49865
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    License Number State |    CA
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