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General NPI Number Information
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NPI Number | 1548131691
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Entity Type | Organization
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Legal Business Name | DESARROLLO FAMILIAR, INC
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Dates
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Enumeration Date | 09/12/2025
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Last Update Date | 09/19/2025
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Provider Practice Location Address
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Address Line | 3400 MACDONALD AVE
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City | RICHMOND
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State | CA
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Zip | 94805-4501
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Country | US
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Telephone | 510-412-5930
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Fax | 510-412-0567
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Provider Business Mailing Address
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Address Line | 205 39TH ST
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City | RICHMOND
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State | CA
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Zip | 94805-2212
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Country | US
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Telephone | 510-412-5930
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Fax | 510-412-0567
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | CRIS STAHL
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Credential | LMFT
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Telephone | 415-240-0124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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