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General NPI Number Information
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NPI Number | 1285392704
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Entity Type | Organization
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Legal Business Name | HONORABLE SERVICES CAREER CENTER
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Dates
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Enumeration Date | 12/01/2021
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Last Update Date | 12/01/2021
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Provider Practice Location Address
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Address Line | 1334 E PALMDALE BLVD STE A
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City | PALMDALE
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State | CA
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Zip | 93550-4896
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Country | US
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Telephone | 661-527-5050
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Fax |
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Provider Business Mailing Address
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Address Line | 3760 LAS PALMAS AVE
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City | PALMDALE
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State | CA
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Zip | 93550-8125
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Country | US
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Telephone | 661-527-5050
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | OCTAVIA BROWN
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Credential |
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Telephone | 661-527-5050
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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 | 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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Taxonomy #3
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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 #4
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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