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General NPI Number Information
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NPI Number | 1659226025
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Entity Type | Organization
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Legal Business Name | 4 THE LOVE OF SELF
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Dates
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Enumeration Date | 03/02/2026
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Last Update Date | 03/02/2026
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Provider Practice Location Address
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Address Line | 2950 S ALMA SCHOOL RD STE 10
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City | MESA
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State | AZ
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Zip | 85210-4036
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Country | US
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Telephone | 480-562-7480
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Fax | 480-562-7480
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Provider Business Mailing Address
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Address Line | 8205 S PRIEST DR UNIT 12542
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City | TEMPE
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State | AZ
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Zip | 85284-0179
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Country | US
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Telephone | 480-562-7480
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Fax | 480-359-2468
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MS. SHAUNA BROWN
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Credential | LPC
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Telephone | 480-562-7480
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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