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General NPI Number Information
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NPI Number | 1417711813
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Entity Type | Organization
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Legal Business Name | AT YOUR PACE FAMILY THERAPY, INC
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Dates
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Enumeration Date | 02/07/2024
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1718 HUNTINGTON DR APT 1
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City | SOUTH PASADENA
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State | CA
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Zip | 91030-4854
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Country | US
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Telephone | 818-239-6749
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Fax |
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Provider Business Mailing Address
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Address Line | 1812 W BURBANK BLVD # 7215
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City | BURBANK
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State | CA
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Zip | 91506-1315
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Country | US
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Telephone | 181-823-9674
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | FABIOLA SERRANO
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Credential | LMFT
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Telephone | 818-239-6749
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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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