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General NPI Number Information
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NPI Number | 1578418901
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Entity Type | Organization
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Legal Business Name | CLICKTALK MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 34 ERICSON AISLE
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City | IRVINE
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State | CA
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Zip | 92620-5722
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Country | US
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Telephone | 949-973-6789
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Fax | 669-800-8409
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Provider Business Mailing Address
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Address Line | 34 ERICSON AISLE
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City | IRVINE
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State | CA
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Zip | 92620-5722
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Country | US
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Telephone | 949-973-6789
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Fax | 669-800-8409
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Authorized Official
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Title or Position | PSY,D LMFT
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Name | SHIFTEH ASODI-DEYLAMI
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Credential | PSY, D, LMFT
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Telephone | 949-973-6789
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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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