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General NPI Number Information
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NPI Number | 1255710539
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Entity Type | Organization
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Legal Business Name | JANELLE LITWAK, MFT
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 16 S OAKLAND AVE SUITE 214
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City | PASADENA
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State | CA
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Zip | 91101-2043
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Country | US
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Telephone | 626-710-0143
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Fax | 866-401-2658
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Provider Business Mailing Address
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Address Line | 537 WICKLIFFE DR
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City | PASADENA
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State | CA
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Zip | 91104-1257
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Country | US
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Telephone | 626-710-0143
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Fax | 866-401-2658
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Authorized Official
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Title or Position | SOLE PROPRIETOR
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Name | JANELLE VICTORIA LITWAK
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Credential | MFT
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Telephone | 626-710-0143
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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 | 40387
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License Number State | CA
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