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General NPI Number Information
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NPI Number | 1326558453
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Entity Type | Individual
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Provider Name | VELMA GWENDOLYN STAPLES MA, LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/03/2017
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Last Update Date | 12/27/2024
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Provider Practice Location Address
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Address Line | 2593 GRIFFITH CT
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City | HAWTHORNE
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State | CA
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Zip | 90250-1663
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Country | US
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Telephone | 626-346-9481
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Fax |
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Provider Business Mailing Address
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Address Line | 14028 VAN NESS AVE UNIT 1013
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City | GARDENA
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State | CA
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Zip | 90249-6200
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Country | US
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Telephone | 626-346-9481
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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 | AMFT109963
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral 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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 127905
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License Number State | CA
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