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General NPI Number Information
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NPI Number | 1548724313
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Entity Type | Organization
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Legal Business Name | COUNSELING AND RESEARCH ASSOCIATES, INC.
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Dates
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Enumeration Date | 01/25/2019
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Last Update Date | 07/30/2025
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Provider Practice Location Address
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Address Line | 11850 SEBASTIAN WAY STE 104
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-0703
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Country | US
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Telephone | 909-476-9802
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Fax | 909-476-9807
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Provider Business Mailing Address
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Address Line | 108 W VICTORIA ST
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City | GARDENA
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State | CA
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Zip | 90248-3523
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Country | US
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Telephone | 310-715-2020
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Fax | 310-660-0492
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Authorized Official
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Title or Position | EXECUTIVE ADMINISTRATOR
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Name | PATRICIA TINDBAEK
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Credential |
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Telephone | 310-261-9369
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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