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General NPI Number Information
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NPI Number | 1447902358
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Entity Type | Individual
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Provider Name | ALISON NICOLE PRESTRIDGE AMFT, APCC, CADCIII
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Gender | Female
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Dates
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Enumeration Date | 01/21/2022
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Last Update Date | 01/21/2022
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Provider Practice Location Address
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Address Line | 4756 SULLIVAN ST APT 201
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City | VENTURA
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State | CA
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Zip | 93003-8212
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Country | US
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Telephone | 805-451-2275
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Fax |
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Provider Business Mailing Address
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Address Line | 4756 SULLIVAN ST APT 201
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City | VENTURA
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State | CA
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Zip | 93003-8212
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Country | US
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Telephone | 805-451-2275
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | BIII00150720
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 10855
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 129654
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License Number State | CA
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