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General NPI Number Information
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NPI Number | 1316307762
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Entity Type | Organization
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Legal Business Name | ACT MARRIAGE AND FAMILY COUNSELING INC
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Dates
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Enumeration Date | 02/27/2016
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Last Update Date | 02/27/2016
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Provider Practice Location Address
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Address Line | 1835 EL CAJON BLVD SUITE A
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City | SAN DIEGO
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State | CA
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Zip | 92103-2591
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Country | US
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Telephone | 619-851-2541
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Fax | 619-298-7416
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Provider Business Mailing Address
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Address Line | 1835 EL CAJON BLVD SUITE A
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City | SAN DIEGO
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State | CA
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Zip | 92103-2591
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Country | US
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Telephone | 619-851-2541
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Fax | 619-298-7416
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. ARMIN GEIGER
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Credential | LMFT, LPCC
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Telephone | 619-851-2541
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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 | 48558
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License Number State | CA
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