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General NPI Number Information
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NPI Number | 1548199680
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Entity Type | Organization
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Legal Business Name | DIGITAL DETOX FAMILY THERAPY, INC
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Dates
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Enumeration Date | 05/15/2026
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Last Update Date | 05/16/2026
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Provider Practice Location Address
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Address Line | 3594 PAR FOUR DR
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City | EL CAJON
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State | CA
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Zip | 92019-4637
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Country | US
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Telephone | 619-278-8728
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Fax |
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Provider Business Mailing Address
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Address Line | 2108 N ST # 4277
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 619-701-6716
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | PETER LOPEZ-PEREZ
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Credential | LMFT
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Telephone | 619-278-8728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 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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Taxonomy #3
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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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