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General NPI Number Information
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NPI Number | 1225851066
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Entity Type | Organization
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Legal Business Name | CLEAR SOLUTIONS COUNSELING INDIVIDUAL AND FAMILY THERAPY PROFESSIONAL
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Dates
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Enumeration Date | 10/31/2024
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 27393 YNEZ RD STE 261
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City | TEMECULA
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State | CA
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Zip | 92591-4609
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Country | US
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Telephone | 858-381-2171
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Fax |
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Provider Business Mailing Address
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Address Line | 27393 YNEZ RD STE 261
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City | TEMECULA
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State | CA
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Zip | 92591-4609
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Country | US
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Telephone | 858-381-2171
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | DANIELLE GASTON
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Credential |
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Telephone | 858-381-2171
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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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