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General NPI Number Information
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NPI Number | 1225720493
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Entity Type | Organization
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Legal Business Name | MONTERROZA MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 05/24/2023
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 595 E COLORADO BLVD STE 205
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City | PASADENA
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State | CA
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Zip | 91101-2028
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Country | US
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Telephone | 888-382-7372
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Fax |
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Provider Business Mailing Address
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Address Line | 508 GLENWOOD RD APT 306
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City | GLENDALE
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State | CA
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Zip | 91202-4502
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Country | US
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Telephone | 213-270-4009
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | JEANINE AIME MONTERROZA
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Credential |
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Telephone | 213-270-4009
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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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