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General NPI Number Information
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NPI Number | 1144666546
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Entity Type | Organization
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Legal Business Name | BRIEF PSYCHOTHERAPY AND FAMILY COUNSELING, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/13/2013
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Last Update Date | 05/13/2013
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Provider Practice Location Address
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Address Line | 68615 PEREZ RD SUITE A
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City | CATHEDRAL CITY
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State | CA
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Zip | 92234-7200
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Country | US
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Telephone | 877-777-2437
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Fax | 877-777-2437
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Provider Business Mailing Address
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Address Line | PO BOX 1596
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City | CATHEDRAL CITY
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State | CA
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Zip | 92235-1596
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Country | US
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Telephone | 877-777-2437
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Fax | 877-777-2437
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ALBERT FRANCIS BOYKIN
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Credential | LMFT/LCSW
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Telephone | 877-777-2437
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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 | MFC28283
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License Number State | CA
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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 | LCS17182
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License Number State | CA
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