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General NPI Number Information
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NPI Number | 1669398269
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Entity Type | Organization
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Legal Business Name | 2 STEPS AWAY, INC.
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 12791 DALE ST
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City | GARDEN GROVE
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State | CA
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Zip | 92841-4521
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Country | US
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Telephone | 949-648-7475
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Fax |
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Provider Business Mailing Address
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Address Line | 12791 DALE ST
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City | GARDEN GROVE
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State | CA
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Zip | 92841-4521
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Country | US
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Telephone | 949-648-7475
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | CHARLES HARRIS
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Credential | CADC-III
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Telephone | 949-566-5543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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