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General NPI Number Information
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NPI Number | 1750510046
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Entity Type | Organization
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Legal Business Name | JOSETTE CIOLINO, A PSYCHOLOGY CORPORATION
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Dates
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Enumeration Date | 07/07/2009
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Last Update Date | 07/07/2009
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Provider Practice Location Address
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Address Line | 23639 HAWTHORNE BLVD STE 201
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City | TORRANCE
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State | CA
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Zip | 90505-5990
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Country | US
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Telephone | 310-373-3420
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Fax | 310-373-3439
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Provider Business Mailing Address
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Address Line | 23639 HAWTHORNE BLVD STE 201
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City | TORRANCE
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State | CA
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Zip | 90505-5990
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Country | US
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Telephone | 310-373-3420
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Fax | 310-373-3439
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DR. JOSETTE MARIE CIOLINO
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Credential | PSY.D.
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Telephone | 310-373-3420
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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 | IMF54831
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF49959
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF58442
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY22390
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License Number State | CA
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC45294
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License Number State | CA
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Taxonomy #6
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC42698
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License Number State | CA
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Taxonomy #7
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY18122
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License Number State | CA
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