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General NPI Number Information
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NPI Number | 1699560078
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Entity Type | Organization
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Legal Business Name | FAMILY FIRST GUIDANCE
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 4060 N 1ST AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-3508
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Country | US
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Telephone | 909-589-4055
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Fax |
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Provider Business Mailing Address
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Address Line | 4060 N 1ST AVE
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City | SAN BERNARDINO
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State | CA
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Zip | 92407-3508
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Country | US
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Telephone | 909-589-4055
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Fax |
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Authorized Official
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Title or Position | SECRETARY
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Name | FRANCES BLANCO
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Credential | LCSW
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Telephone | 909-589-4055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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