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NPI 1528578259

NPI 1528578259 : ENROS MISOLA MANALIGOD MA, IMFT-S : HENDERSON, NV

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General NPI Number Information
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    NPI Number           |    1528578259
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    Entity Type          |    Individual 
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    Provider Name        |    ENROS MISOLA MANALIGOD MA, IMFT-S
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/09/2017
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    Last Update Date     |    02/21/2026
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Provider Practice Location Address
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    Address Line         |    87 YESTERDAY DR 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-5853
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    Country              |    US
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    Telephone            |    702-695-4895
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    87 YESTERDAY DR 
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    City                 |    HENDERSON
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    State                |    NV
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    Zip                  |    89074-5853
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    Country              |    US
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    Telephone            |    716-901-4082
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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       |    3209-R
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    License Number State |    NV
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Taxonomy #2
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT.0002461
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    License Number State |    CO
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Taxonomy #3
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MBTMFT-9869
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    License Number State |    ID
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Taxonomy #4
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    100.0134255TELE
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    License Number State |    VT
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Taxonomy #5
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    M.1700030
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    License Number State |    OH
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Taxonomy #6
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT145135
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    License Number State |    CA
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Taxonomy #7
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    MFT.LF.70072615
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    License Number State |    WA
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Taxonomy #8
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT-16058
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    License Number State |    AZ
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Taxonomy #9
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    F.2000152
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    License Number State |    OH
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Taxonomy #10
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    T3448
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    License Number State |    OR
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Taxonomy #11
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    Taxonomy Code        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    TPMF1072
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    License Number State |    FL
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