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General NPI Number Information
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NPI Number | 1487558623
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Entity Type | Organization
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Legal Business Name | SAKURA THERAPY & WELLNESS, A LICENSED PROFESSIONAL CLINICAL COUNSELOR CORPORATION
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Dates
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Enumeration Date | 10/02/2026
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Last Update Date | 10/02/2026
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Provider Practice Location Address
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Address Line | 8025 SILVERCREST WAY
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City | SAN DIEGO
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State | CA
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Zip | 92126-4482
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Country | US
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Telephone | 619-324-3281
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Fax |
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Provider Business Mailing Address
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Address Line | 4653 CARMEL MOUNTAIN RD STE 308 #AA247
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City | SAN DIEGO
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State | CA
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Zip | 92130-6650
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Country | US
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Telephone | 619-324-3281
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CARMEN CRISTINA PANZARINI
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Credential | LMHC, LPCC
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Telephone | 619-324-3281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | NULL
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