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General NPI Number Information
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NPI Number | 1639078280
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Entity Type | Organization
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Legal Business Name | ELDERWELL FAMILY THERAPY SOLUTIONS PC
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Dates
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Enumeration Date | 11/02/2026
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Last Update Date | 11/02/2026
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Provider Practice Location Address
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Address Line | 8880 RIO SAN DIEGO DR STE 800
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City | SAN DIEGO
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State | CA
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Zip | 92108-1642
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Country | US
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Telephone | 858-298-3942
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Fax | 858-223-7005
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Provider Business Mailing Address
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Address Line | 8880 RIO SAN DIEGO DR STE 800
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City | SAN DIEGO
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State | CA
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Zip | 92108-1642
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Country | US
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Telephone | 858-298-3942
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Fax | 858-223-7005
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Authorized Official
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Title or Position | CEO/FOUNDER
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Name | JORGE ALEJANDRO BRICENO
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Credential |
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Telephone | 858-298-3942
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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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