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General NPI Number Information
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NPI Number | 1417572405
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Entity Type | Organization
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Legal Business Name | BRIGHT INSIGHT FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 06/15/2020
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 1255 W COLTON AVE # 122
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City | REDLANDS
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State | CA
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Zip | 92374-2861
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Country | US
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Telephone | 909-441-1841
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Fax | 909-363-9235
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Provider Business Mailing Address
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Address Line | 1255 W COLTON AVE # 122
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City | REDLANDS
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State | CA
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Zip | 92374-2861
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Country | US
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Telephone | 909-441-1841
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Fax | 909-363-9235
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TRACIE YONKMAN
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Credential | LMFT
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Telephone | 909-441-1841
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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 |
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License Number State |
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