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General NPI Number Information
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NPI Number | 1285501973
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Entity Type | Organization
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Legal Business Name | THE ABSTRACT CENTER FOR MARRIAGE & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 11726 SAN VICENTE BLVD STE 220
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City | LOS ANGELES
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State | CA
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Zip | 90049-5045
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Country | US
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Telephone | 626-788-1595
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4178
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City | GLENDALE
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State | CA
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Zip | 91222-0178
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KELLY DALY
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Credential | MFT
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Telephone | 773-294-0371
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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 |
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License Number State |
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