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General NPI Number Information
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NPI Number | 1750993408
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Entity Type | Organization
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Legal Business Name | SERENE MINDS COUNSELING SERVICES
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Dates
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Enumeration Date | 08/22/2020
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 27144 ROYCE LN
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City | HIGHLAND
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State | CA
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Zip | 92346-4241
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Country | US
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Telephone | 909-307-4807
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Fax |
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Provider Business Mailing Address
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Address Line | 700 E REDLANDS BLVD STE U339
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City | REDLANDS
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State | CA
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Zip | 92373-6109
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Country | US
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Telephone | 909-359-8067
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. REBECCA I MUBVAKURE
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Credential | MA LMFT
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Telephone | 909-359-8067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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