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General NPI Number Information
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NPI Number | 1285496703
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Entity Type | Individual
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Provider Name | ALLYSON E GREENWOOD AMFT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2024
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Last Update Date | 02/07/2024
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Provider Practice Location Address
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Address Line | 6235 RIVER CREST DR STE J
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City | RIVERSIDE
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State | CA
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Zip | 92507-0758
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Country | US
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Telephone | 951-640-1375
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Fax |
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Provider Business Mailing Address
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Address Line | 43460 RIDGE PARK DR
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City | TEMECULA
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State | CA
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Zip | 92590-5518
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Country | US
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Telephone | 951-395-3288
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 143609
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License Number State | CA
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