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General NPI Number Information
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NPI Number | 1376996363
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Entity Type | Organization
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Legal Business Name | HEALING HEARTS COUNSELING CENTER SAN DIEGO INCORPORATED
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 12/09/2024
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Provider Practice Location Address
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Address Line | 317 N EL CAMINO REAL STE 306
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City | ENCINITAS
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State | CA
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Zip | 92024-2814
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Country | US
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Telephone | 760-458-1600
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Fax | 858-673-4499
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Provider Business Mailing Address
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Address Line | 317 N EL CAMINO REAL STE 306
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City | ENCINITAS
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State | CA
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Zip | 92024-2814
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Country | US
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Telephone | 760-458-1600
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/ COUNSELOR
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Name | JENNIFER DELORIS LITTLE
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Credential |
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Telephone | 760-458-1600
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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 | 2992
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License Number State | CA
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