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General NPI Number Information
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NPI Number | 1104390442
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Entity Type | Organization
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Legal Business Name | HEART OF THE MATTER FAMILY COUNSELING INC
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Dates
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Enumeration Date | 01/21/2019
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 2251 SAN DIEGO AVE STE B150
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City | SAN DIEGO
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State | CA
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Zip | 92110-2969
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Country | US
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Telephone | 619-780-7100
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Fax | 619-780-7009
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Provider Business Mailing Address
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Address Line | 2251 SAN DIEGO AVE STE B150
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City | SAN DIEGO
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State | CA
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Zip | 92110-2969
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Country | US
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Telephone | 619-780-7100
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Fax | 619-780-7009
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Authorized Official
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Title or Position | CEO, SOLE OWNER
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Name | SUSAN PAPINI HEEMSTRA
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Credential | LMFT (103201)
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Telephone | 619-780-7008
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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 |
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License Number State |
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