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General NPI Number Information
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NPI Number | 1477169399
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Entity Type | Organization
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Legal Business Name | DISCOVERY MARRIAGE & FAMILY COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 09/16/2020
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 1672 W AVENUE J STE 202
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City | LANCASTER
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State | CA
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Zip | 93534-2861
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Country | US
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Telephone | 661-214-3044
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Fax | 661-387-3788
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Provider Business Mailing Address
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Address Line | 1672 W AVENUE J STE 202
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City | LANCASTER
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State | CA
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Zip | 93534-2861
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Country | US
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Telephone | 661-214-3044
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Fax | 661-387-3788
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | JOSE OMAR ALFARO
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Credential | LMFT, MBA
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Telephone | 661-214-3044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 |
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License Number State |
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