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NPI 1124378708

NPI 1124378708 : MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC. : PINE VALLEY, CA

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General NPI Number Information
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    NPI Number           |    1124378708
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    Entity Type          |    Organization 
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    Legal Business Name  |    MCALISTER INSTITUTE FOR TREATMENT & EDUCATION, INC. 
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Dates
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    Enumeration Date     |    09/11/2012
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    Last Update Date     |    02/10/2025
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Provider Practice Location Address
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    Address Line         |    7454 PINE BOULEVARD 
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    City                 |    PINE VALLEY
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    State                |    CA
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    Zip                  |    91962-0571
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    Country              |    US
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    Telephone            |    619-588-5361
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    Fax                  |    619-588-5421
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Provider Business Mailing Address
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    Address Line         |    1400 N JOHNSON AVE STE 101 
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92020-1651
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    Country              |    US
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    Telephone            |    619-442-0277
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    Fax                  |    619-442-1101
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     MARISA  VAROND 
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    Credential           |    
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    Telephone            |    619-442-0277
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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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        |    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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Taxonomy #4
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    Taxonomy Code        |    261QR0405X
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    Taxonomy Name        |    Substance Use Disorder Rehabilitation Clinic/Center
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    License Number       |    
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    License Number State |    
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