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General NPI Number Information
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NPI Number | 1255299228
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Entity Type | Organization
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Legal Business Name | CLINICAL INTUITIONS COMMUNITY WELLNESS CENTER INC.
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 906 W SCHOOL ST
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City | COMPTON
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State | CA
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Zip | 90220-1844
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Country | US
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Telephone | 747-249-4383
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Fax |
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Provider Business Mailing Address
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Address Line | 1935 VIRGINIA ST NE
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City | SALEM
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State | OR
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Zip | 97301-2269
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Country | US
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Telephone | 747-249-4383
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Fax |
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Authorized Official
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Title or Position | COO
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Name | LEA HUMMEL
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Credential | QMHA
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Telephone | 747-249-4383
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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