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NPI 1306684170

NPI 1306684170 : REJOICE HOLISTIC COUNSELING CENTER, INC. : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1306684170
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    Entity Type          |    Organization 
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    Legal Business Name  |    REJOICE HOLISTIC COUNSELING CENTER, INC. 
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Dates
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    Enumeration Date     |    07/17/2024
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    Last Update Date     |    07/17/2024
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Provider Practice Location Address
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    Address Line         |    3742 TIBBETTS ST STE 201 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92506-2641
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    Country              |    US
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    Telephone            |    951-867-8077
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    31299 ENSEMBLE DR 
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    City                 |    MENIFEE
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    State                |    CA
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    Zip                  |    92584-7221
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    Country              |    US
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    Telephone            |    951-867-8077
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     VERONICA  SAN JUAN 
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    Credential           |    MFT
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    Telephone            |    951-488-2167
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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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