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General NPI Number Information
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NPI Number | 1306499058
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Entity Type | Individual
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Provider Name | LUKE AUSTIN MROCH MS, AMFT
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Gender | Male
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Dates
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Enumeration Date | 07/22/2019
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 9042 GARFIELD AVE STE 215
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-2344
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Country | US
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Telephone | 949-433-9803
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Fax |
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Provider Business Mailing Address
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Address Line | 9151 ATLANTA AVE #5041
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92615-2401
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Country | US
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Telephone | 949-478-4810
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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 | AMFT149846
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License Number State | CA
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