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General NPI Number Information
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NPI Number | 1588921589
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Entity Type | Organization
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Legal Business Name | THE CHILD & FAMILY THERAPY PLACE, INC
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 04/13/2012
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Provider Practice Location Address
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Address Line | 9 W GABILAN ST SUITE 2
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City | SALINAS
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State | CA
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Zip | 93901-2769
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Country | US
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Telephone | 831-272-2041
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Fax |
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Provider Business Mailing Address
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Address Line | 1522 CONSTITUTION BLVD #114
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City | SALINAS
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State | CA
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Zip | 93905-3803
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Country | US
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Telephone | 831-272-2041
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. SANDRA LIVIER GUARDADO
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Credential | LMFT
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Telephone | 831-272-2041
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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 | 51117
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License Number State | CA
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