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General NPI Number Information
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NPI Number | 1114707585
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Entity Type | Organization
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Legal Business Name | HAVEN FAMILY RESOURCE
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Dates
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Enumeration Date | 10/03/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 200 N LA CUMBRE RD STE H
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City | SANTA BARBARA
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State | CA
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Zip | 93110-2592
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Country | US
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Telephone | 805-834-2229
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Fax |
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Provider Business Mailing Address
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Address Line | 200 N LA CUMBRE RD STE H
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City | SANTA BARBARA
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State | CA
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Zip | 93110-2592
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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 | FOUNDING DIRECTOR
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Name | SABRINA FREIDENFELDS
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Credential | MPH, IBCLC, PMH-C
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Telephone | 805-834-2229
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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