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General NPI Number Information
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NPI Number | 1609609932
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Entity Type | Individual
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Provider Name | DESTINY ESPINOZA
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Gender | Female
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Dates
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Enumeration Date | 08/22/2024
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 11711 SAND CANYON RD
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City | YUCAIPA
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State | CA
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Zip | 92399-1742
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Country | US
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Telephone | 909-389-3271
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Fax |
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Provider Business Mailing Address
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Address Line | 17240 OLIVE ST # 440
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City | HESPERIA
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State | CA
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Zip | 92345-6099
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Country | US
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Telephone | 323-590-1567
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Fax |
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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 | 16196
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License Number State | CA
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