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General NPI Number Information
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NPI Number | 1689468092
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Entity Type | Organization
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Legal Business Name | BREA OLINDA COUNSELING CENTER
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | 330 E LAMBERT RD STE 278C
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City | BREA
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State | CA
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Zip | 92821-4138
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Country | US
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Telephone | 909-914-8587
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Fax | 909-529-8158
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Provider Business Mailing Address
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Address Line | 3723 CROOKED CREEK DR
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City | DIAMOND BAR
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State | CA
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Zip | 91765-3761
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Country | US
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Telephone | 734-604-0316
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHENG YI YEN
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Credential |
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Telephone | 909-914-8587
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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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