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General NPI Number Information
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NPI Number | 1215059134
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Entity Type | Organization
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Legal Business Name | AMERICAN FAMILY COUNSELING CENTER,.
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Dates
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Enumeration Date | 04/03/2007
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Last Update Date | 01/24/2014
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Provider Practice Location Address
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Address Line | 6700 FALLBROOK AVE SUITE 224A
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City | WEST HILLS
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State | CA
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Zip | 91307-3530
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Country | US
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Telephone | 818-710-1266
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Fax | 818-710-1267
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Provider Business Mailing Address
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Address Line | 6700 FALLBROOK AVE SUITE 224A
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City | WEST HILLS
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State | CA
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Zip | 91307-3530
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Country | US
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Telephone | 818-710-1266
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Fax | 818-710-1267
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Authorized Official
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Title or Position | DIRECTOR
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Name | DR. IRVING DACRE CROSHIER
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Credential |
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Telephone | 818-710-1266
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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 | MFC 5616
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License Number State | CA
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