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General NPI Number Information
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NPI Number | 1336094036
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Entity Type | Organization
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Legal Business Name | DANA SOCKOLOV MARRIAGE AND FAMILY THERAPY INC
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 2727 CAMINO DEL RIO S STE 340
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City | SAN DIEGO
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State | CA
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Zip | 92108-3741
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Country | US
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Telephone | 619-786-4477
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Fax |
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Provider Business Mailing Address
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Address Line | 2727 CAMINO DEL RIO S STE 340
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City | SAN DIEGO
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State | CA
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Zip | 92108-3741
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Country | US
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Telephone | 619-786-4477
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DANA SOCKOLOV
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Credential | LMFT
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Telephone | 415-328-5077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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