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General NPI Number Information
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NPI Number | 1245098763
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Entity Type | Organization
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Legal Business Name | LIFEFORCE MARRIAGE AND FAMILY COUNSELING INC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 150 W SIERRA MADRE BLVD
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2435
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Country | US
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Telephone | 626-471-1280
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Fax |
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Provider Business Mailing Address
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Address Line | 150 W SIERRA MADRE BLVD
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City | SIERRA MADRE
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State | CA
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Zip | 91024-2435
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. JOSEPH HOVEMEYER
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Credential | LMFT
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Telephone | 626-471-1280
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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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