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General NPI Number Information
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NPI Number | 1619829827
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Entity Type | Organization
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Legal Business Name | PATH TO PEACE, A LICENSED CLINICAL SOCIAL WORKER, P.C.
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Dates
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Enumeration Date | 02/11/2026
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 115 E HICKORY AVE STE D
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City | LOMPOC
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State | CA
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Zip | 93436-7274
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Country | US
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Telephone | 805-952-2240
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Fax |
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Provider Business Mailing Address
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Address Line | 115 E HICKORY AVE STE D
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City | LOMPOC
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State | CA
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Zip | 93436-7274
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Country | US
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Telephone | 805-952-2240
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Fax |
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Authorized Official
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Title or Position | LICENSED CLINICAL SOCIAL WORKER
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Name | JENNA-BRIE ENGELKE
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Credential | LCSW
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Telephone | 805-952-2240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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