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General NPI Number Information
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NPI Number | 1548187347
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Entity Type | Organization
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Legal Business Name | KELLI REA MARRIAGE & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 1921 S CATALINA AVE STE 1
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5516
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Country | US
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Telephone | 310-961-1608
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Fax |
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Provider Business Mailing Address
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Address Line | 1921 S CATALINA AVE STE 1
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5516
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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/CEO
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Name | KELLI REA
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Credential | LMFT
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Telephone | 310-961-1608
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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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