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General NPI Number Information
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NPI Number | 1730915075
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Entity Type | Organization
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Legal Business Name | HOPE AND WELLNESS FAMILY COUNSELING
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Dates
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Enumeration Date | 09/12/2024
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Last Update Date | 09/12/2024
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Provider Practice Location Address
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Address Line | 2023 CENTURY AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-4667
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Country | US
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Telephone | 951-542-1886
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 461
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City | RIVERSIDE
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State | CA
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Zip | 92502-0461
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Country | US
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Telephone | 951-210-5519
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Fax |
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Authorized Official
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Title or Position | MARIAGE AND FAMILY THERAPIST/CEO
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Name | ANGELIQUE CELESTINE
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Credential | LMFT
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Telephone | 951-542-1886
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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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