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General NPI Number Information
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NPI Number | 1508473422
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Entity Type | Organization
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Legal Business Name | MINDFULNESS COUNSELING SERVICES
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Dates
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Enumeration Date | 09/24/2020
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 101 E. REDLANDS SUITE 170A
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City | REDLANDS
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State | CA
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Zip | 92373
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Country | US
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Telephone | 310-882-1211
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Fax | 951-729-6069
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Provider Business Mailing Address
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Address Line | 5778 TRIDENTE WAY
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City | RIVERSIDE
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State | CA
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Zip | 92505
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Country | US
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Telephone | 310-882-1211
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Fax | 951-729-6069
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | STEVE WHITING
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Credential |
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Telephone | 310-882-1211
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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 |
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License Number State |
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