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General NPI Number Information
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NPI Number | 1609547215
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Entity Type | Organization
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Legal Business Name | HOPE CHILD & FAMILY PROFESSIONAL CLINICAL COUNSELOR SERVICES PROFESSIO
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Dates
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Enumeration Date | 09/23/2021
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Last Update Date | 03/27/2023
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Provider Practice Location Address
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Address Line | 9171 WILSHIRE BLVD STE 500
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5536
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Country | US
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Telephone | 424-274-0447
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Fax | 213-515-6772
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Provider Business Mailing Address
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Address Line | 9171 WILSHIRE BLVD STE 500
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-5536
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Country | US
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Telephone | 424-274-0447
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Fax | 213-515-6772
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR/THERAPIST
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Name | MR. MARCUS LAROY JOSEPH
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Credential | MS
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Telephone | 310-279-5282
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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