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General NPI Number Information
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NPI Number | 1710307400
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Entity Type | Individual
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Provider Name | LYUDMILA KISINA LMFT, LAADC
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Gender | Female
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Dates
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Enumeration Date | 04/21/2014
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 680 E COLORADO BLVD STE 180
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City | PASADENA
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State | CA
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Zip | 91101-6144
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Country | US
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Telephone | 646-941-7645
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Fax |
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Provider Business Mailing Address
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Address Line | 302 E 94TH ST APT 1A
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City | NEW YORK
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State | NY
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Zip | 10128-5622
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Country | US
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Telephone | 619-233-3432
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Fax | 619-233-7022
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 002689
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 144514
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LR10280523
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License Number State | CA
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