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NPI 1396445763

NPI 1396445763 : THE JOY CENTRE, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1396445763
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE JOY CENTRE, A LICENSED MARRIAGE AND FAMILY THERAPY CORPORATION 
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Dates
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    Enumeration Date     |    03/06/2023
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    Last Update Date     |    03/06/2023
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Provider Practice Location Address
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    Address Line         |    5555 BUSINESS PARK S STE 200 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93309-1678
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    Country              |    US
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    Telephone            |    661-345-6471
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    Fax                  |    661-742-1402
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Provider Business Mailing Address
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    Address Line         |    12001 GRACEVILLE CT 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-5722
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    Country              |    US
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    Telephone            |    661-345-6471
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     KANULE  MARTIN 
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    Credential           |    LMFT
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    Telephone            |    661-345-6471
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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