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General NPI Number Information
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NPI Number | 1487524781
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Entity Type | Organization
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Legal Business Name | MARIANA'S SERVICES
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Dates
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Enumeration Date | 11/11/2025
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Last Update Date | 11/11/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 310-388-7989
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1328
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City | HELENDALE
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State | CA
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Zip | 92342-1328
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Country | US
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Telephone | 310-388-7989
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. YAJAIRA KENNISON
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Credential | PSYD, LCSW
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Telephone | 310-388-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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