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General NPI Number Information
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NPI Number | 1629593736
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Entity Type | Organization
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Legal Business Name | GUIDED RECOVERY COUNSELING, INC.
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Dates
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Enumeration Date | 08/09/2017
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Last Update Date | 08/09/2017
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Provider Practice Location Address
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Address Line | 41690 ENTERPRISE CIR N STE 100
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City | TEMECULA
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State | CA
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Zip | 92590-5617
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Country | US
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Telephone | 951-338-9769
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Fax |
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Provider Business Mailing Address
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Address Line | 31162 RIVERTON LN
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City | TEMECULA
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State | CA
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Zip | 92591-7038
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MARTHA CAROLINA CHAPA-PADILLA
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Credential | LMFT
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Telephone | 951-338-9769
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 48827
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License Number State | CA
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