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General NPI Number Information
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NPI Number | 1710877303
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Entity Type | Individual
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Provider Name | CASANDRA ACEVES
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Gender | Female
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Dates
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Enumeration Date | 07/07/2025
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Last Update Date | 07/08/2025
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Provider Practice Location Address
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Address Line | 160 E HOLT AVE STE B
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City | POMONA
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State | CA
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Zip | 91767-5407
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Country | US
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Telephone | 909-620-2521
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Fax |
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Provider Business Mailing Address
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Address Line | 1976 SOSA LN
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City | COLTON
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State | CA
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Zip | 92324-6610
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Country | US
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Telephone | 909-437-3801
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 13670
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 13670
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License Number State | CA
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