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General NPI Number Information
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NPI Number | 1174089411
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Entity Type | Organization
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Legal Business Name | FAMILY TALK THERAPY CENTER
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Dates
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Enumeration Date | 02/12/2019
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Last Update Date | 04/17/2025
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Provider Practice Location Address
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Address Line | 19322 JESSE LN STE 100 AND 200
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City | RIVERSIDE
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State | CA
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Zip | 92508-5091
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Country | US
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Telephone | 951-387-4040
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Fax | 951-398-3144
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Provider Business Mailing Address
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Address Line | 19322 JESSE LN STE 200
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City | RIVERSIDE
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State | CA
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Zip | 92508-5072
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Country | US
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Telephone | 951-387-4040
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Fax | 951-398-3144
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MR. JASON SCOTT TEMPLE SR.
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Credential | LMFT
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Telephone | 951-387-4040
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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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