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General NPI Number Information
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NPI Number | 1447679329
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Entity Type | Organization
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Legal Business Name | LIFE SKILLS AWARENESS A PSYCHOLOGY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/08/2014
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 14075 HESPERIA RD STE 101
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City | VICTORVILLE
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State | CA
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Zip | 92395-4500
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Country | US
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Telephone | 760-949-1200
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Fax | 760-657-2408
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Provider Business Mailing Address
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Address Line | 14075 HESPERIA RD STE 101
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City | VICTORVILLE
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State | CA
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Zip | 92395-4500
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Country | US
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Telephone | 760-949-1200
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Fax | 760-657-2408
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. TERRI RAMONA TAUQIR
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Credential | LPCC
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Telephone | 760-949-1200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | PC
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License Number State | CA
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