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NPI 1316535453

NPI 1316535453 : SEPIDEH GARMROUDI LMFT, APCC : GLENDALE, CA

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General NPI Number Information
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    NPI Number           |    1316535453
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    Entity Type          |    Individual 
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    Provider Name        |    SEPIDEH GARMROUDI LMFT, APCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/05/2021
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    Last Update Date     |    06/18/2024
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Provider Practice Location Address
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    Address Line         |    501 W GLENOAKS BLVD # 757 
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    City                 |    GLENDALE
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    State                |    CA
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    Zip                  |    91202-2896
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    Country              |    US
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    Telephone            |    310-562-8469
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    501 W GLENOAKS BLVD # 757 
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    City                 |    GLENDALE
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    State                |    CA
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    Zip                  |    91202-2896
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    Country              |    US
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    Telephone            |    310-562-8469
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    101YS0200X
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    Taxonomy Name        |    School Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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