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NPI 1700786472

NPI 1700786472 : JOHN CELONA JD : SAN CARLOS, CA

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General NPI Number Information
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    NPI Number           |    1700786472
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN CELONA JD
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/06/2026
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    Last Update Date     |    11/06/2026
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Provider Practice Location Address
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    Address Line         |    505 VISTA AVE 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070-1933
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    Country              |    US
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    Telephone            |    650-802-9201
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    Fax                  |    --
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Provider Business Mailing Address
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    Address Line         |    505 VISTA AVE 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070-1933
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    Country              |    US
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    Telephone            |    650-802-9201
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    Fax                  |    --
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    151850
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    License Number State |    CA
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