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General NPI Number Information
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NPI Number | 1457722712
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Entity Type | Individual
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Provider Name | JANAELYN LASHAE MITCHELL LMFT #135096
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Gender | Female
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Dates
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Enumeration Date | 10/13/2015
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 1105 E YALE AVE
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City | FRESNO
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State | CA
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Zip | 93704-6238
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Country | US
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Telephone | 559-252-1738
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Fax |
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Provider Business Mailing Address
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Address Line | 2803 ALMOND AVE
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City | SANGER
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State | CA
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Zip | 93657-8754
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Country | US
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Telephone |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 112165
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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 | 135096
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License Number State | CA
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