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General NPI Number Information
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NPI Number | 1669318465
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Entity Type | Organization
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Legal Business Name | WESTLAKE COUNSELING INSTITUTE
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Dates
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Enumeration Date | 04/25/2026
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Last Update Date | 04/25/2026
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Provider Practice Location Address
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Address Line | 5655 LINDERO CANYON RD STE 621
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4052
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Country | US
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Telephone | 310-561-9898
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Fax |
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Provider Business Mailing Address
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Address Line | 5655 LINDERO CANYON RD STE 621
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-4052
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Country | US
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Telephone | 310-561-9898
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR/ OWNER
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Name | MARISSA LYNN LONG
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Credential | LMFT
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Telephone | 310-561-9898
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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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