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General NPI Number Information
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NPI Number | 1356574529
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Entity Type | Organization
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Legal Business Name | WEST COAST COUNSELING CENTER
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Dates
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Enumeration Date | 09/03/2009
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Last Update Date | 09/03/2009
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Provider Practice Location Address
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Address Line | 16055 VENTURA BLVD SUITE. 1222
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone | 818-986-0600
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Fax | 818-986-0062
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Provider Business Mailing Address
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Address Line | 16055 VENTURA BLVD SUITE. 1222
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City | ENCINO
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State | CA
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Zip | 91436-2601
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | JODY FRANK
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Credential |
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Telephone | 818-986-0600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8194
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 13039
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License Number State | CA
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