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General NPI Number Information
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NPI Number | 1407656697
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH COUNSELING, A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 03/17/2025
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Last Update Date | 03/17/2025
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Provider Practice Location Address
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Address Line | 99 ALMADEN BLVD STE 600
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City | SAN JOSE
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State | CA
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Zip | 95113-1605
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Country | US
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Telephone | 224-330-5788
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Fax |
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Provider Business Mailing Address
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Address Line | 1111 6TH AVE STE 550 #299783
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City | SAN DIEGO
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State | CA
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Zip | 92101
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Country | US
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Telephone | 224-330-5788
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | REBECCA PAUSHTER
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Credential | LCSW
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Telephone | 224-330-5788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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