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General NPI Number Information
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NPI Number | 1396547840
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Entity Type | Organization
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Legal Business Name | CONNECT THE DOTS MARRIAGE AND FAMILY COUNSELING INC
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Dates
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Enumeration Date | 03/26/2025
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Last Update Date | 03/26/2025
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Provider Practice Location Address
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Address Line | 27965 SMYTH DR # 106
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City | VALENCIA
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State | CA
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Zip | 91355-6016
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Country | US
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Telephone | 661-200-3007
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 800325
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City | SANTA CLARITA
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State | CA
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Zip | 91380-0325
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Country | US
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Telephone | 209-607-1018
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. KHEA S GUMBS
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Credential | LMFT
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Telephone | 661-200-3007
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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