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General NPI Number Information
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NPI Number | 1225925373
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Entity Type | Organization
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Legal Business Name | PATH OF LIGHT COUNSELING AND REHABILITATION CORP
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Dates
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Enumeration Date | 06/20/2025
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5101 E LA PALMA AVE STE B202
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City | ANAHEIM
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State | CA
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Zip | 92807-2042
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Country | US
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Telephone | 561-537-1986
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Fax | 407-674-2253
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Provider Business Mailing Address
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Address Line | 23841 PIEDRAS RD
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City | PERRIS
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State | CA
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Zip | 92570-7195
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Country | US
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Telephone | 561-537-1986
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Fax | 407-674-2253
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Authorized Official
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Title or Position | CEO
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Name | DR. DR NORMAN ALBERTO QUINTERO SR.
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Credential | LMFT
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Telephone | 561-537-1986
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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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