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General NPI Number Information
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NPI Number | 1457679136
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Entity Type | Individual
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Provider Name | LINDA L CALLAHAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/05/2010
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Last Update Date | 11/15/2022
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Provider Practice Location Address
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Address Line | 3280 E FOOTHILL BLVD
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City | PASADENA
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State | CA
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Zip | 91107-3148
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Country | US
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Telephone | 626-840-2038
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Fax |
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Provider Business Mailing Address
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Address Line | 967 E COLORADO BLVD # PO BOX 70253
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City | PASADENA
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State | CA
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Zip | 91116
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Country | US
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Telephone | 626-822-9607
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 60595
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 77473
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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 | 60595
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 77473
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License Number State | CA
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