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NPI 1558827436

NPI 1558827436 : RESET COUNSELING SERVICES MARRIAGE AND FAMILY THERAPY-A P C : MURRIETA, CA

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General NPI Number Information
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    NPI Number           |    1558827436
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    Entity Type          |    Organization 
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    Legal Business Name  |    RESET COUNSELING SERVICES MARRIAGE AND FAMILY THERAPY-A P C 
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Dates
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    Enumeration Date     |    02/15/2019
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    Last Update Date     |    02/15/2019
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Provider Practice Location Address
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    Address Line         |    38800 SKY CANYON DR STE B 
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    City                 |    MURRIETA
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    State                |    CA
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    Zip                  |    92563-2540
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    Country              |    US
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    Telephone            |    951-824-6226
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    Fax                  |    951-430-5038
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Provider Business Mailing Address
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    Address Line         |    PO BOX 936 
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    City                 |    TEMECULA
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    State                |    CA
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    Zip                  |    92593-0936
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    Country              |    US
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    Telephone            |    951-824-6226
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    Fax                  |    951-430-5038
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     RUTH  VILLARANDA 
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    Credential           |    LMFT
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    Telephone            |    951-824-6226
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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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