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General NPI Number Information
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NPI Number | 1255258042
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Entity Type | Organization
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Legal Business Name | PROGRESSIVE HEALING LICENSED PROFESSIONAL CLINICAL COUNSELOR CORPORATION
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 409 CAMINO DEL RIO S STE 303
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City | SAN DIEGO
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State | CA
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Zip | 92108-3507
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Country | US
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Telephone | 619-339-1190
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Fax |
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Provider Business Mailing Address
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Address Line | 409 CAMINO DEL RIO S STE 303
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City | SAN DIEGO
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State | CA
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Zip | 92108-3507
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Country | US
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Telephone | 619-339-1190
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Fax |
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Authorized Official
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Title or Position | CEO/LICENSED CLINICIAN
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Name | JONEI PEARL CHAPPLE-SEWELL
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Credential | LPCC 13918
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Telephone | 619-339-1190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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