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General NPI Number Information
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NPI Number | 1255349056
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Entity Type | Organization
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Legal Business Name | MANTECON FAMILY COUNSELING INC
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Dates
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Enumeration Date | 08/04/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 28570 MARGUERITE PKWY L-2 MANTECON FAMILY COUNSELING INC
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City | MISSION VIEJO
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State | CA
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Zip | 92692
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Country | US
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Telephone | 949-347-8755
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Fax |
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Provider Business Mailing Address
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Address Line | 28570 MARGUERITE PKWY L-2 MANTECON FAMILY COUNSELING INC
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City | MISSION VIEJO
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State | CA
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Zip | 92692
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Country | US
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Telephone | 949-347-8755
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Fax |
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Authorized Official
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Title or Position | INCORPORATED INDIVIDUAL
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Name | DR. VALERIE H MANTECON
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Credential | MFT
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Telephone | 949-347-8755
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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 | MFC23049
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License Number State | CA
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