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General NPI Number Information
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NPI Number | 1740093137
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Entity Type | Organization
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Legal Business Name | UNFAILING KINDNESS INDIVIDUAL AND FAMILY COUNSELING
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Dates
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Enumeration Date | 01/29/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 1490 N CLAREMONT BLVD STE 202
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City | CLAREMONT
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State | CA
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Zip | 91711-3519
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Country | US
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Telephone | 442-229-6579
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Fax |
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Provider Business Mailing Address
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Address Line | 12599 WESTWAY
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City | VICTORVILLE
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State | CA
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Zip | 92392-0509
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Country | US
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Telephone | 713-894-0295
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Fax |
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Authorized Official
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Title or Position | CEO/ PSYCHOTHERAPIST
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Name | YULIANA A MEDINA
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Credential | LCSW
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Telephone | 713-894-0295
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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