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General NPI Number Information
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NPI Number | 1285976043
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Entity Type | Organization
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Legal Business Name | GUIDANCE COMMUNITY DEVELOPMENT CENTER, INC.
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Dates
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Enumeration Date | 03/20/2013
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Last Update Date | 03/20/2013
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Provider Practice Location Address
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Address Line | 2323 KING BLVD.
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City | LOS ANGELES
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State | CA
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Zip | 90008-2724
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Country | US
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Telephone | 323-294-6352
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 KING BOULEVARD
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City | LOS ANGELES
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State | CA
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Zip | 90008-2724
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Country | US
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Telephone | 323-294-6352
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. CHANTEE HALL
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Credential | M.A., LMFT
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Telephone | 323-294-6352
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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 | MFC51569
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License Number State | CA
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