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General NPI Number Information
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NPI Number | 1467595488
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Entity Type | Organization
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Legal Business Name | CALIFORNIA COUNSELING INSTITUTE
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4614 CALIFORNIA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1225
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Country | US
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Telephone | 415-752-1702
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Fax | 415-751-1545
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Provider Business Mailing Address
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Address Line | 4614 CALIFORNIA ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94118-1225
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Country | US
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Telephone | 415-752-1702
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Fax | 415-751-1545
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MS. ELAINE L. CHAN-SCHERER
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Credential | LCSW
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Telephone | 415-752-1702
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State | CA
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