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General NPI Number Information
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NPI Number | 1235941204
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Entity Type | Organization
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Legal Business Name | SANTA YNEZ VALLEY MARRIAGE & FAMILY THERAPY INC.
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Dates
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Enumeration Date | 01/24/2025
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Last Update Date | 01/24/2025
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Provider Practice Location Address
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Address Line | 2030 VIBORG RD STE 107
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City | SOLVANG
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State | CA
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Zip | 93463-3224
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Country | US
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Telephone | 805-694-8297
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Fax |
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Provider Business Mailing Address
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Address Line | 85 W HIGHWAY 246 STE 140
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City | BUELLTON
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State | CA
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Zip | 93427-9719
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Country | US
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Telephone | 805-694-8297
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Fax |
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | KATHRYN E. M. FLECKENSTEIN
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Credential | LMFT
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Telephone | 805-291-9389
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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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