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General NPI Number Information
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NPI Number | 1710869326
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Entity Type | Organization
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Legal Business Name | PEARL PATHWAYS INDIVIDUAL AND FAMILY THERAPY, INC
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Dates
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Enumeration Date | 07/24/2025
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Last Update Date | 07/26/2025
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Provider Practice Location Address
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Address Line | 229 E COMMONWEALTH AVE APT 315
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City | FULLERTON
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State | CA
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Zip | 92832-4908
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Country | US
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Telephone | 562-726-5976
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Fax |
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Provider Business Mailing Address
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Address Line | 6 CENTERPOINTE DR STE 700
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City | LA PALMA
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State | CA
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Zip | 90623-2545
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Country | US
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Telephone | 562-726-5976
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Fax |
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Authorized Official
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Title or Position | CEO, LMFT
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Name | D'ANDRA PEARL JOHNSON
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Credential | LMFT
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Telephone | 562-231-7404
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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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