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General NPI Number Information
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NPI Number | 1114670981
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Entity Type | Organization
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Legal Business Name | THE REFLECTING COUCH COUNSELING CENTER
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Dates
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Enumeration Date | 02/01/2022
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Last Update Date | 02/01/2022
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Provider Practice Location Address
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Address Line | 17215 STUDEBAKER RD STE 110
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City | CERRITOS
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State | CA
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Zip | 90703-2521
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Country | US
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Telephone | 562-650-8054
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Fax |
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Provider Business Mailing Address
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Address Line | 10473 NICHOLS ST
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City | BELLFLOWER
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State | CA
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Zip | 90706-4134
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Country | US
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Telephone | 562-650-8054
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | OSBALDO LEMUS
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Credential | LCSW
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Telephone | 562-650-8054
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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 |
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License Number State |
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