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General NPI Number Information
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NPI Number | 1306290390
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Entity Type | Organization
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Legal Business Name | ANCHOR CHILDREN AND FAMILY COUNSELING, INC
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Dates
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Enumeration Date | 04/16/2016
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Last Update Date | 04/16/2016
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Provider Practice Location Address
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Address Line | 280 S LOS ROBLES AVE UNIT B
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City | PASADENA
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State | CA
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Zip | 91101-2872
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Country | US
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Telephone | 626-437-5583
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Fax |
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Provider Business Mailing Address
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Address Line | 280 S LOS ROBLES AVE UNIT B
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City | PASADENA
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State | CA
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Zip | 91101-2872
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Country | US
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Telephone | 626-437-5583
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Fax |
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Authorized Official
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Title or Position | OWNER, MARRIAGE AND FAMILY THERAPIS
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Name | DR. MARY MELISSA SPRINGSTED
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Credential | PSY.D, MA MFT
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Telephone | 626-437-5583
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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 | 47113
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License Number State | CA
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