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General NPI Number Information
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NPI Number | 1205709250
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Entity Type | Individual
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Provider Name | RHEANNA DENISE HARROD
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Gender | Female
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Dates
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Enumeration Date | 09/25/2025
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Last Update Date | 09/25/2025
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Provider Practice Location Address
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Address Line | 12139 MOUNT VERNON AVE STE 103
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City | GRAND TERRACE
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State | CA
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Zip | 92313-5500
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Country | US
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Telephone | 909-281-9662
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Fax |
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Provider Business Mailing Address
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Address Line | 14768 SILKTREE DR
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City | FONTANA
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State | CA
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Zip | 92337-2509
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Country | US
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Telephone | 909-782-8640
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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 | 158042
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License Number State | CA
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