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General NPI Number Information
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NPI Number | 1497571822
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Entity Type | Organization
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Legal Business Name | CITRUS COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 12/02/2024
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Last Update Date | 12/02/2024
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Provider Practice Location Address
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Address Line | 101 E REDLANDS BLVD STE 215
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City | REDLANDS
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State | CA
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Zip | 92373-4724
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Country | US
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Telephone | 909-793-1078
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Fax | 909-335-7330
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Provider Business Mailing Address
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Address Line | 23406 CREST FOREST DR
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City | CRESTLINE
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State | CA
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Zip | 92325
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Country | US
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Telephone | 909-886-6737
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. ROGER ANTHONY UMINSKI II
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Credential |
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Telephone | 909-748-5416
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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 |
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