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General NPI Number Information
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NPI Number | 1538094610
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Entity Type | Organization
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Legal Business Name | MINDFUL HEALING PSYCHOTHERAPY & ASSESSMENT
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Dates
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Enumeration Date | 06/17/2026
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Last Update Date | 06/17/2026
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Provider Practice Location Address
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Address Line | 3515 MANZANA CT
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City | CAMINO
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State | CA
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Zip | 95709-9547
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Country | US
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Telephone | 530-957-2349
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Fax |
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Provider Business Mailing Address
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Address Line | 3515 MANZANA CT
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City | CAMINO
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State | CA
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Zip | 95709-9547
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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 | CEO
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Name | CHRISTINE HERNANDEZ
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Credential | PSY.D.
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Telephone | 530-957-2349
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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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