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General NPI Number Information
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NPI Number | 1487229431
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Entity Type | Organization
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Legal Business Name | THE HAUS OF HEALING INC
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Dates
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Enumeration Date | 05/21/2021
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Last Update Date | 05/21/2021
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Provider Practice Location Address
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Address Line | 1132 BEAUMONT AVE # 106
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City | BEAUMONT
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State | CA
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Zip | 92223-1819
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Country | US
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Telephone | 951-233-4499
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Fax | 951-797-0192
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Provider Business Mailing Address
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Address Line | 1132 BEAUMONT AVE # 106
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City | BEAUMONT
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State | CA
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Zip | 92223-1819
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Country | US
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Telephone | 951-233-4499
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Fax | 951-797-0192
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Authorized Official
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Title or Position | OWNER
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Name | VALERIE RENE TRAYNHAM
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Credential | LPCC
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Telephone | 951-233-4499
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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