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General NPI Number Information
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NPI Number | 1134976939
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Entity Type | Organization
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Legal Business Name | UNECLIPSED COUNSELING, MARRIAGE AND FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 05/01/2024
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Last Update Date | 05/01/2024
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Provider Practice Location Address
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Address Line | 140 W FRANKLIN ST STE 203
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City | MONTEREY
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State | CA
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Zip | 93940-2725
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Country | US
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Telephone | 619-587-3840
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Fax |
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Provider Business Mailing Address
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Address Line | 140 W FRANKLIN ST STE 203
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City | MONTEREY
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State | CA
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Zip | 93940-2725
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Country | US
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Telephone | 619-587-3840
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KRISTINA LAURA FERGUSON
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Credential | MA, LMFT
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Telephone | 619-587-3840
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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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