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General NPI Number Information
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NPI Number | 1558071068
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Entity Type | Organization
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Legal Business Name | THE YOUTH AND FAMILY INSTITUTE
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Dates
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Enumeration Date | 11/25/2022
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Last Update Date | 11/25/2022
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Provider Practice Location Address
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Address Line | 1849 SAWTELLE BLVD STE 610
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City | LOS ANGELES
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State | CA
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Zip | 90025-7013
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Country | US
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Telephone | 323-800-8883
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Fax |
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Provider Business Mailing Address
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Address Line | 308 E BENNETT PL
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City | CLAREMONT
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State | CA
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Zip | 91711-1974
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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 | FOUNDER AND DIRECTOR
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Name | DR. MARCUS RODRIGUEZ
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Credential | PHD
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Telephone | 323-800-8882
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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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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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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 | 103TB0200X
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Taxonomy Name | Cognitive & Behavioral Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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