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General NPI Number Information
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NPI Number | 1750494977
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Entity Type | Individual
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Provider Name | KLARA DETRANO LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 16704 CLARK AVE
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City | BELLFLOWER
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State | CA
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Zip | 90706-5204
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Country | US
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Telephone | 562-867-1737
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Fax | 562-867-6717
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Provider Business Mailing Address
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Address Line | 1150 W CAPITOL DR UNIT 119
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City | SAN PEDRO
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State | CA
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Zip | 90732-2275
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Country | US
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Telephone | 310-225-5219
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Fax | 310-832-1362
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | MFT38837
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License Number State | CA
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