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General NPI Number Information
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NPI Number | 1346158599
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Entity Type | Organization
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Legal Business Name | CTA BEHAVIORAL HEALTH & FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 6828 RYCROFT DR
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City | RIVERSIDE
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State | CA
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Zip | 92506-5317
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Country | US
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Telephone | 951-897-6123
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Fax |
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Provider Business Mailing Address
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Address Line | 6296 MAGNOLIA AVE # 1156
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City | RIVERSIDE
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State | CA
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Zip | 92506-2526
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Country | US
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Telephone | 951-897-6123
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CANDICE FUIMAONO
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Credential | LMFT
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Telephone | 951-897-6123
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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 | NULL
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