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General NPI Number Information
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NPI Number | 1528858198
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Entity Type | Organization
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Legal Business Name | ALIGNED CONNECTIONS MARRIAGE AND FAMILY THERAPY, PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/08/2025
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 6498 BROKEN STAR CT
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91701-4183
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Country | US
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Telephone | 909-235-9917
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD PMB 752899
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CELEBRITY BLOCKTON-GONZALEZ
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Credential | LMFT
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Telephone | 909-235-9917
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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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