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General NPI Number Information
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NPI Number | 1144188962
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Entity Type | Organization
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Legal Business Name | THE TRAUMA RECOVERY COLLABORATIVE LPCC INC
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Dates
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Enumeration Date | 01/12/2026
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 1223 CLEVELAND AVE 200-337
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City | SAN DIEGO
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State | CA
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Zip | 92103-3301
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Country | US
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Telephone | 619-289-8060
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Fax |
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Provider Business Mailing Address
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Address Line | 1223 CLEVELAND AVE 200-337
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City | SAN DIEGO
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State | CA
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Zip | 92103-3301
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Country | US
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Telephone |
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Fax | 888-337-3402
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Authorized Official
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Title or Position | THERAPIST
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Name | BRENDA STEPHENS
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Credential | LPCC
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Telephone | 619-289-8060
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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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