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NPI 1376018697

NPI 1376018697 : HEFZIBA MARRIAGE AND FAMILY COUNSELING CENTER, APC : NORTHRIDGE, CA

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General NPI Number Information
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    NPI Number           |    1376018697
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEFZIBA MARRIAGE AND FAMILY COUNSELING CENTER, APC 
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Dates
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    Enumeration Date     |    10/12/2018
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    Last Update Date     |    10/08/2025
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Provider Practice Location Address
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    Address Line         |    19843 NORDHOFF ST # 102 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-3331
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    Country              |    US
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    Telephone            |    909-677-6259
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    Fax                  |    951-708-3344
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Provider Business Mailing Address
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    Address Line         |    19843 NORDHOFF ST # 102 
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    City                 |    NORTHRIDGE
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    State                |    CA
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    Zip                  |    91324-3331
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    Country              |    US
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    Telephone            |    909-677-6259
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    Fax                  |    951-708-3344
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     CLAUDIA  ESCORCIA 
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    Credential           |    LMFT
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    Telephone            |    909-677-6259
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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       |    
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    License Number State |    
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