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General NPI Number Information
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NPI Number | 1649844234
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Entity Type | Organization
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Legal Business Name | APEX FAMILY COUNSELING INC.
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Dates
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Enumeration Date | 05/18/2021
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Last Update Date | 05/18/2021
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Provider Practice Location Address
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Address Line | 2139 LAVENDER LN
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City | COLTON
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State | CA
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Zip | 92324-1828
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Country | US
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Telephone | 626-665-4288
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Fax |
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Provider Business Mailing Address
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Address Line | 1310 S RIVERSIDE AVE # 3F-412
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City | RIALTO
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State | CA
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Zip | 92376-7622
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Country | US
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Telephone | 909-554-3444
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SAHACHAT PHARNICHYAKUL
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Credential | LMFT
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Telephone | 626-665-4288
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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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