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NPI 1679603849

NPI 1679603849 : MANDI ALLISON BEIMEL M.A., MFT : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1679603849
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    Entity Type          |    Individual 
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    Provider Name        |    MANDI ALLISON BEIMEL M.A., MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/06/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    4701 E CESAR E CHAVEZ AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90022-1209
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    Country              |    US
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    Telephone            |    323-828-6831
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    Fax                  |    323-260-5202
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Provider Business Mailing Address
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    Address Line         |    PO BOX 260841 
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    City                 |    ENCINO
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    State                |    CA
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    Zip                  |    91426-0841
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    Country              |    US
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    Telephone            |    323-828-6831
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    Fax                  |    323-260-5202
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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        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    MFC37517
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    License Number State |    CA
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