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1629436449 NPI number — FAITH JOLEEN REYES LMFT

NPI Number: 1629436449
Health Care Provider/Practitioner: FAITH JOLEEN REYES LMFT

Information about “1629436449” NPI (FAITH JOLEEN REYES LMFT) exists in 1629436449 in HTML format HTML  |  1629436449 in plain Text format TXT  |  1629436449 in PDF (Portable Document Format) PDF  |  1629436449 in an XML format XML  formats.

NPI Number : 1629436449 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1629436449",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "REYES",
    "FirstName": "FAITH",
    "MiddleName": "JOLEEN",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LMFT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "468 N. CAMDEN DR",
    "SecondLineMailingAddress": "STE 200 , # 96198",
    "MailingAddressCityName": "BEVERLY HILLS",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90210-3225",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "334 VILLAGE LN",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LOS GATOS",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "95030-7218",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "916-320-6552",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "02/08/2016",
    "LastUpdateDate": "02/24/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101YA0400X",
          "TaxonomyName": "Addiction (Substance Use Disorder) Counselor",
          "LicenseNumber": null,
          "LicenseNumberStateCode": null,
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "106H00000X",
          "TaxonomyName": "Marriage & Family Therapist",
          "LicenseNumber": "106204",
          "LicenseNumberStateCode": "CA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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