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General NPI Number Information
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NPI Number | 1508470287
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Entity Type | Individual
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Provider Name | ABRIANNA STUBBLEFIELD AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/01/2020
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Last Update Date | 01/14/2025
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Provider Practice Location Address
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Address Line | 1325 E COOLEY DR STE 106
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City | COLTON
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State | CA
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Zip | 92324-3966
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Country | US
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Telephone | 909-782-5588
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Fax | 909-752-6182
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Provider Business Mailing Address
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Address Line | 2605 E.DATE PALM PASEO #3199
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City | ONTARIO
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State | CA
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Zip | 91764
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Country | US
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Telephone | 909-292-5227
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151839
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License Number State | CA
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