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General NPI Number Information
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NPI Number | 1497432439
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Entity Type | Organization
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Legal Business Name | MONICA E WILLIAMS, PROFESSIONAL CLINICAL COUNSELOR CORP.
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Dates
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Enumeration Date | 06/30/2023
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 6621 E PACIFIC COAST HWY STE 220
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City | LONG BEACH
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State | CA
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Zip | 90803-4239
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Country | US
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Telephone | 925-408-4663
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Fax |
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Provider Business Mailing Address
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Address Line | 28154 BOBWHITE CIR UNIT 72
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City | SANTA CLARITA
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State | CA
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Zip | 91350-4416
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Country | US
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Telephone | 925-408-4663
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MISS MONICA ELIZABETH WILLIAMS
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Credential | LEP, LPCC
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Telephone | 925-408-4663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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