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General NPI Number Information
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NPI Number | 1194058297
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Entity Type | Individual
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Provider Name | LUIS ARELLANO JR. LCSW
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Gender | Male
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Dates
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Enumeration Date | 09/08/2009
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Last Update Date | 04/22/2021
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Provider Practice Location Address
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Address Line | 6601 STEPHENS RANCH RD
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City | LA VERNE
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State | CA
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Zip | 91750-1146
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Country | US
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Telephone | 909-593-1213
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Fax |
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Provider Business Mailing Address
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Address Line | 955 S REBECCA ST
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City | POMONA
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State | CA
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Zip | 91766-3051
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Country | US
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Telephone | 909-731-1739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 31286
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCSW76106
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW76106
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License Number State | CA
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