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General NPI Number Information
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NPI Number | 1285108555
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Entity Type | Organization
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Legal Business Name | PRECIOUS LIFE CLINICS-CES
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Dates
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Enumeration Date | 01/19/2019
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Last Update Date | 10/05/2025
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Provider Practice Location Address
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Address Line | 445 S ARROWHEAD AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92408-1335
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Country | US
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Telephone | 909-454-6297
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Fax |
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY STE 2920
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone | 909-454-6297
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF SERVICES
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Name | DR. STEVEN LA SHARN HOBSON
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Credential | MSW., PH.D., SUDCCIV
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Telephone | 909-454-6297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 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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