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General NPI Number Information
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NPI Number | 1699634295
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Entity Type | Organization
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Legal Business Name | MINDFUL CHILD ASSESSMENT & COUNSELING, INC
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Dates
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Enumeration Date | 01/19/2026
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Last Update Date | 01/19/2026
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Provider Practice Location Address
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Address Line | 1910 OLYMPIC BLVD STE 225
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5070
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Country | US
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Telephone | 925-954-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 360 LINDSEY DR
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City | MARTINEZ
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State | CA
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Zip | 94553-5738
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Country | US
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Telephone | 925-954-9229
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | JAMIE EDWARDS
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Credential | LEP
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Telephone | 925-413-7968
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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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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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