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General NPI Number Information
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NPI Number | 1477089761
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Entity Type | Individual
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Provider Name | STELLA ROSAS JOHNSON
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Gender | Female
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Dates
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Enumeration Date | 05/04/2017
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 1360 W 6TH ST STE 205
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City | SAN PEDRO
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State | CA
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Zip | 90732-3567
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Country | US
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Telephone | 310-833-3135
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Fax | 310-707-2877
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Provider Business Mailing Address
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Address Line | 1301 PINE AVE
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City | LONG BEACH
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State | CA
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Zip | 90813-3124
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Country | US
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Telephone | 562-595-1159
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Fax | 562-485-4661
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT130667
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License Number State | CA
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