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General NPI Number Information
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NPI Number | 1740761105
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Entity Type | Organization
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Legal Business Name | CREATIVE CONNECTIONS INDIVIDUAL & FAMILY THERAPY, INC.
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Dates
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Enumeration Date | 08/23/2018
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 24325 MAIN ST STE 102
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City | NEWHALL
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State | CA
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Zip | 91321-2932
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Country | US
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Telephone | 661-383-2252
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Fax |
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Provider Business Mailing Address
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Address Line | 24325 MAIN ST STE 102
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City | NEWHALL
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State | CA
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Zip | 91321-2932
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Country | US
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Telephone | 661-383-2252
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Fax |
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | ALEXANDRA FIELD
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Credential |
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Telephone | 661-993-7301
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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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