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General NPI Number Information
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NPI Number | 1306684667
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Entity Type | Organization
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Legal Business Name | BREAKING THE CYCLE COUNSELING
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Dates
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Enumeration Date | 07/19/2024
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Last Update Date | 07/19/2024
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Provider Practice Location Address
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Address Line | 9320 WILLOWGROVE AVE STE K
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City | SANTEE
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State | CA
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Zip | 92071-2990
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Country | US
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Telephone | 619-827-6221
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Fax | 800-690-0213
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Provider Business Mailing Address
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Address Line | 9320 WILLOWGROVE AVE STE K
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City | SANTEE
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State | CA
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Zip | 92071-2990
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Country | US
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Telephone | 619-827-6221
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Fax | 800-690-0213
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CARA SILVA
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Credential | MA, LMFT
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Telephone | 619-228-1282
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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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