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General NPI Number Information
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NPI Number | 1366255184
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Entity Type | Organization
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Legal Business Name | CHELSIE CRILLY FAMILY COUNSELING INC
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 3468 MT DIABLO BLVD STE B201
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City | LAFAYETTE
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State | CA
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Zip | 94549-3959
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Country | US
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Telephone | 510-767-0764
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Fax | 510-767-0764
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Provider Business Mailing Address
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Address Line | 3468 MT DIABLO BLVD STE B203
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City | LAFAYETTE
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State | CA
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Zip | 94549-7120
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Country | US
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Telephone | 510-767-0764
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHELSIE CRILLY
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Credential | LMFT
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Telephone | 510-767-0764
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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 |
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