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General NPI Number Information
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NPI Number | 1629879135
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Entity Type | Organization
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Legal Business Name | NURTURING CONNECTIONS COUNSELING OF ORANGE COUNTY
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Dates
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Enumeration Date | 03/20/2025
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Last Update Date | 01/02/2026
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Provider Practice Location Address
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Address Line | 17671 IRVINE BLVD STE 218
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City | TUSTIN
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State | CA
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Zip | 92780-3129
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Country | US
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Telephone | 714-617-5955
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Fax |
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Provider Business Mailing Address
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Address Line | 17671 IRVINE BLVD STE 218
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City | TUSTIN
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State | CA
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Zip | 92780-3129
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Country | US
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Telephone | 714-617-5955
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Fax |
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Authorized Official
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Title or Position | OWNER/FOUNDER/CEO
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Name | SUSIE MARIA IBRAHIM
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Credential | LMFT
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Telephone | 714-617-5955
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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 |
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License Number State |
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