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General NPI Number Information
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NPI Number | 1437800372
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Entity Type | Organization
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Legal Business Name | JDR FAMILY THERAPY INC
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Dates
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Enumeration Date | 01/12/2022
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Last Update Date | 12/22/2025
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Provider Practice Location Address
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Address Line | 9135 ARCHIBALD AVE STE B
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5227
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Country | US
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Telephone | 424-272-1806
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Fax |
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Provider Business Mailing Address
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Address Line | 9135 ARCHIBALD AVE STE B
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-5227
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Country | US
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Telephone | 424-272-1806
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAMIE D ROBERTS
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Credential | LMFT
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Telephone | 424-272-1806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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