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General NPI Number Information
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NPI Number | 1609400837
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Entity Type | Organization
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Legal Business Name | RIZE COUNSELING, INC.
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 17195 NEWHOPE ST STE 205
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4211
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Country | US
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Telephone | 949-416-5533
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Fax |
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Provider Business Mailing Address
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Address Line | 17195 NEWHOPE ST STE 205
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City | FOUNTAIN VALLEY
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State | CA
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Zip | 92708-4211
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Country | US
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Telephone | 949-416-5533
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Fax |
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | JEFFREY EDWARD WILSON
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Credential |
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Telephone | 562-301-9176
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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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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