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General NPI Number Information
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NPI Number | 1407596240
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Entity Type | Organization
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Legal Business Name | INNER BEACON THERAPY A LICENSED PROFESSIONAL CLINICAL COUNSELOR CORPORATION
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Dates
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Enumeration Date | 03/30/2022
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Last Update Date | 10/18/2025
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Provider Practice Location Address
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Address Line | 5501 STOCKDALE HWY UNIT 11032
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City | BAKERSFIELD
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State | CA
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Zip | 93389-7098
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Country | US
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Telephone | 661-412-4291
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Fax | 855-794-0970
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Provider Business Mailing Address
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Address Line | 5501 STOCKDALE HWY UNIT 11032
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City | BAKERSFIELD
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State | CA
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Zip | 93389-7098
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Country | US
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Telephone | 661-412-4291
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Fax | 855-794-0970
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Authorized Official
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Title or Position | OWNER
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Name | LEAH LOUISE LOPETEGUY
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Credential | LMFT, LPCC
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Telephone | 661-412-4291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional 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 | 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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Taxonomy #3
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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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