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General NPI Number Information
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NPI Number | 1235678590
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Entity Type | Individual
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Provider Name | KRISTINA MICHELLE DE BREE LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/20/2017
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 23822 VALENCIA BLVD STE 301
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City | VALENCIA
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State | CA
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Zip | 91355-5350
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Country | US
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Telephone | 661-513-4857
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Fax | 661-286-1097
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Provider Business Mailing Address
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Address Line | 24506 WINDSOR DR UNIT B
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City | VALENCIA
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State | CA
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Zip | 91355-4446
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Country | US
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Telephone | 661-513-4857
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Fax | 661-286-1097
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 98046
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License Number State | CA
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