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NPI 1720959000

NPI 1720959000 : WARRIOR PATH MARRIAGE AND FAMILY THERAPY : CATHEDRAL CITY, CA

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General NPI Number Information
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    NPI Number           |    1720959000
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    Entity Type          |    Organization 
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    Legal Business Name  |    WARRIOR PATH MARRIAGE AND FAMILY THERAPY 
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Dates
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    Enumeration Date     |    09/17/2025
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    Last Update Date     |    09/17/2025
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Provider Practice Location Address
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    Address Line         |    69310 CYPRESS RD 
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    City                 |    CATHEDRAL CITY
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    State                |    CA
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    Zip                  |    92234-2833
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    Country              |    US
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    Telephone            |    949-407-9882
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    69310 CYPRESS RD 
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    City                 |    CATHEDRAL CITY
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    State                |    CA
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    Zip                  |    92234-2833
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    Country              |    US
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    Telephone            |    949-407-9882
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     CESAR A PACHECO 
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    Credential           |    LFMT
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    Telephone            |    949-407-9882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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