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General NPI Number Information
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NPI Number | 1740827815
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Entity Type | Organization
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Legal Business Name | HEALING CLINICAL COUNSELING CENTER, INC
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Dates
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Enumeration Date | 12/07/2019
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Last Update Date | 12/20/2023
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Provider Practice Location Address
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Address Line | 221 S FIGUEROA ST STE 310
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City | LOS ANGELES
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State | CA
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Zip | 90012-3759
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Country | US
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Telephone | 562-507-1616
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Fax | 213-260-8586
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Provider Business Mailing Address
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Address Line | 221 S. FIGUEROA ST STE 310, OFFICE J
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City | LOS ANGELES
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State | CA
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Zip | 90012-3759
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Country | US
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Telephone | 562-507-1616
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Fax | 213-260-8586
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Authorized Official
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Title or Position | CFO
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Name | ADA M VALLADARES
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Credential | LCSW
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Telephone | 323-487-3736
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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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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Taxonomy #3
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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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