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General NPI Number Information
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NPI Number | 1295587954
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Entity Type | Organization
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Legal Business Name | TOGETHERNESS MARRIAGE THERAPY INC
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Dates
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Enumeration Date | 04/04/2024
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Last Update Date | 12/13/2024
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Provider Practice Location Address
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Address Line | 2001 S BARRINGTON AVE STE 309
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City | LOS ANGELES
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State | CA
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Zip | 90025-5379
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Country | US
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Telephone | 323-633-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 2001 S BARRINGTON AVE STE 309
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City | LOS ANGELES
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State | CA
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Zip | 90025-5379
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Country | US
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Telephone | 323-633-6986
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Fax |
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Authorized Official
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Title or Position | CEO & CLINICIAN
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Name | DR. ROSSANA SIDA
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Credential | LMFT, PSYD, CST
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Telephone | 323-633-6986
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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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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