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General NPI Number Information
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NPI Number | 1700713732
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Entity Type | Organization
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Legal Business Name | ROOTED IN HOPE COUNSELING, A LICENSED CLINICAL SOCIAL WORKER PC
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Dates
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Enumeration Date | 05/05/2026
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Last Update Date | 05/05/2026
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Provider Practice Location Address
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Address Line | 3476 GALVESTON AVE
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City | SIMI VALLEY
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State | CA
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Zip | 93063-1214
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Country | US
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Telephone | 805-491-4375
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Fax |
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Provider Business Mailing Address
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Address Line | 8605 SANTA MONICA BLVD PMB 671310
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4109
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Country | US
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Telephone | 805-491-4375
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RAFAEL DE JESUSE ORTEGA
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Credential | LCSW
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Telephone | 805-491-4375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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