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General NPI Number Information
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NPI Number | 1164199956
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Entity Type | Organization
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Legal Business Name | HANAI CENTER FOR COUNSELING AND WELLNESS
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 08/27/2021
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Provider Practice Location Address
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Address Line | 31371 RANCHO VIEJO RD STE 203
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1849
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Country | US
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Telephone | 949-529-1399
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Fax | 213-455-4908
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Provider Business Mailing Address
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Address Line | 31371 RANCHO VIEJO RD STE 203
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City | SAN JUAN CAPISTRANO
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State | CA
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Zip | 92675-1849
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Country | US
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Telephone | 949-529-1399
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Fax | 213-455-4908
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | KRISTEN IRENE GARUBBA
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Credential | LMFT
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Telephone | 949-529-1399
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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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