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General NPI Number Information
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NPI Number | 1205575537
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Entity Type | Organization
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Legal Business Name | BE UPLIFTED, A LICENSED PROFESSIONAL CLINICAL COUNSELOR INC.
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Dates
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Enumeration Date | 06/03/2022
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Last Update Date | 06/03/2022
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Provider Practice Location Address
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Address Line | 26856 ADAMS AVE STE 200
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City | MURRIETA
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State | CA
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Zip | 92562-6948
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Country | US
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Telephone | 951-223-5652
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Fax |
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Provider Business Mailing Address
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Address Line | 26856 ADAMS AVE STE 200
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City | MURRIETA
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State | CA
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Zip | 92562-6948
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALEXANDER MORELLI
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Credential | LPCC
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Telephone | 951-223-5652
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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