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General NPI Number Information
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NPI Number | 1740908078
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Entity Type | Organization
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Legal Business Name | INSIGHT THERAPY
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Dates
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Enumeration Date | 08/22/2022
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Last Update Date | 08/22/2022
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Provider Practice Location Address
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Address Line | 3259 BRAMSON PL UNIT 206
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City | SAN DIEGO
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State | CA
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Zip | 92104-1444
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Country | US
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Telephone | 619-601-5433
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16245
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City | SAN DIEGO
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State | CA
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Zip | 92176-6245
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | LINDSAY WARD
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Credential | LPCC
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Telephone | 619-549-0193
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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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