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General NPI Number Information
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NPI Number | 1710768379
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Entity Type | Organization
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Legal Business Name | HERE ON PURPOSE MARRIAGE AND FAMILY COUNSELING CORP.
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Dates
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Enumeration Date | 10/10/2023
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Last Update Date | 10/10/2023
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Provider Practice Location Address
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Address Line | 9797 FERRON BLVD,
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730
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Country | US
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Telephone | 909-641-0979
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Fax |
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Provider Business Mailing Address
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Address Line | 10950 ARROW ROUTE #3153
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91729
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Country | US
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Telephone | 909-641-0979
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH CLINICIAN
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Name | MELISHIA PHILLIPS
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Credential | LMFT
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Telephone | 909-641-0979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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