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General NPI Number Information
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NPI Number | 1477128643
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Entity Type | Organization
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Legal Business Name | SELAH COUNSELING INC.
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Dates
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Enumeration Date | 05/20/2021
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Last Update Date | 08/19/2023
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Provider Practice Location Address
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Address Line | 1295 N WISHON AVE STE 211
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City | FRESNO
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State | CA
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Zip | 93728-2350
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Country | US
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Telephone | 559-316-1097
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Fax |
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Provider Business Mailing Address
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Address Line | 1631 NE BROADWAY ST PMB 750
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City | PORTLAND
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State | OR
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Zip | 97232
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Country | US
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Telephone | 559-316-1097
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | ANGELA ALICE YBARRA
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Credential | LMFT
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Telephone | 559-316-1097
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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 |
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