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General NPI Number Information
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NPI Number | 1376244715
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Entity Type | Organization
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Legal Business Name | BRIGHTSIDE PROFESSIONAL CLINICAL COUNSELING
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 03/13/2023
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Provider Practice Location Address
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Address Line | 444 CAMINO DEL RIO S STE 215
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City | SAN DIEGO
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State | CA
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Zip | 92108-3510
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Country | US
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Telephone | 415-264-3343
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Fax |
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Provider Business Mailing Address
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Address Line | 444 CAMINO DEL RIO S STE 215
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City | SAN DIEGO
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State | CA
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Zip | 92108-3510
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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 | OWNER, THERAPIST
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Name | CHELSEA STERLING
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Credential | LPCC
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Telephone | 415-264-3343
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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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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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