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General NPI Number Information
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NPI Number | 1598397119
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Entity Type | Individual
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Provider Name | CHRISTINA WOOD LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/11/2020
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Last Update Date | 02/11/2020
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Provider Practice Location Address
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Address Line | 1484 BURNS LN
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City | SAN JACINTO
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State | CA
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Zip | 92583-2000
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Country | US
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Telephone | 310-413-2934
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Fax | 951-350-8196
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Provider Business Mailing Address
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Address Line | 1281 N STATE ST STE 334
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City | SAN JACINTO
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State | CA
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Zip | 92583-6313
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Country | US
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Telephone | 951-884-5559
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Fax | 951-350-8196
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LMFT115931
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License Number State | CA
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