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General NPI Number Information
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NPI Number | 1215511845
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Entity Type | Organization
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Legal Business Name | THEOKRATIA PSYCHOTHERAPY, ROBINSON AND ASSOCIATE LICENSED MARRIAGE AND
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Dates
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Enumeration Date | 05/10/2021
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 845 15TH ST FL 4
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City | SAN DIEGO
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State | CA
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Zip | 92101-8046
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Country | US
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Telephone | 469-552-7225
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Fax |
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Provider Business Mailing Address
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Address Line | 5816 FOX HILL LN
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City | DALLAS
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State | TX
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Zip | 75232-2404
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Country | US
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Telephone | 469-552-7225
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER, CLINICIAN
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Name | DR. CRYSTAL ROBINSON
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Credential | PSY. D., LMFT
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Telephone | 469-552-7225
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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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