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General NPI Number Information
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NPI Number | 1386766640
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Entity Type | Individual
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Provider Name | TAMMY MICHELLE MAKELA LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/05/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1743 ORANGE TREE LN SUITE A
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City | REDLANDS
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State | CA
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Zip | 92374-2857
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Country | US
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Telephone | 909-335-1164
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Fax | 909-793-7466
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Provider Business Mailing Address
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Address Line | 25637 JASON PL
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City | MORENO VALLEY
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State | CA
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Zip | 92557-6600
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Country | US
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Telephone | 951-486-0616
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 41534
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | CA
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