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General NPI Number Information
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NPI Number | 1609433507
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Entity Type | Organization
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Legal Business Name | TEMPLE LEGACY COUNSELING, LLC
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Dates
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Enumeration Date | 05/26/2019
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Last Update Date | 08/01/2025
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Provider Practice Location Address
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Address Line | 937 FRANKLIN BLVD
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City | LEMOORE
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State | CA
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Zip | 93246-4700
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Country | US
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Telephone | 559-998-4474
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1803
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City | CUBA
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State | NM
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Zip | 87013-1803
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Country | US
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Telephone | 267-258-8423
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SABRINA ROSEMARY GONZALEZ
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Credential | DSW-LCSW
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Telephone | 267-258-8423
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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