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General NPI Number Information
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NPI Number | 1245904242
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Entity Type | Organization
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Legal Business Name | JOURNEY TO BECOMING FAMILY THERAPY INC.
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Dates
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Enumeration Date | 08/03/2021
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Last Update Date | 10/08/2021
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Provider Practice Location Address
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Address Line | 1950 W CORPORATE WAY STE 20067
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City | ANAHEIM
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State | CA
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Zip | 92801-5373
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Country | US
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Telephone | 323-999-5011
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Fax |
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Provider Business Mailing Address
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Address Line | 30025 ALICIA PKWY STE 7009
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-2090
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Country | US
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Telephone | 323-999-5011
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. KARRIE JOHNSTON FELDMAN
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Credential | M.S., LMFT
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Telephone | 323-999-5011
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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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