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General NPI Number Information
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NPI Number | 1659926186
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Entity Type | Individual
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Provider Name | CATHLEEN SEVILLA BRINEGAR LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/01/2019
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Last Update Date | 03/16/2024
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Provider Practice Location Address
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Address Line | 13950 MILTON AVE STE 400E
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City | WESTMINSTER
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State | CA
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Zip | 92683-2939
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Country | US
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Telephone | 714-902-9214
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Fax |
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Provider Business Mailing Address
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Address Line | 8941 ATLANTA AVE # 358
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92646-7121
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Country | US
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Telephone | 949-293-8751
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 127998
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License Number State | CA
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