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General NPI Number Information
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NPI Number | 1598521809
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Entity Type | Organization
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Legal Business Name | EMBRACING SELF FAMILY COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 02/23/2024
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Last Update Date | 02/23/2024
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Provider Practice Location Address
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Address Line | 265 S RANDOLPH AVE STE 250
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City | BREA
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State | CA
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Zip | 92821-5701
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Country | US
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Telephone | 657-243-2248
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 912
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City | NORCO
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State | CA
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Zip | 92860-0912
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Country | US
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Telephone | 657-243-2248
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Fax |
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Authorized Official
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Title or Position | CEO/LMFT
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Name | SEYYEDEH FATEMEH HASHEMI
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Credential | LMFT
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Telephone | 657-243-2248
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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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