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General NPI Number Information
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NPI Number | 1760023964
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Entity Type | Organization
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Legal Business Name | OPUS COUNSELING SERVICES A LICENSED CLINICAL SOCIAL WORKER CORPORATION
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Dates
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Enumeration Date | 09/30/2019
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Last Update Date | 06/12/2023
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Provider Practice Location Address
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Address Line | 2698 DAWSON AVE STE G
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City | SIGNAL HILL
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State | CA
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Zip | 90755-2066
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Country | US
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Telephone | 562-619-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 3553 ATLANTIC AVE # 670
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City | LONG BEACH
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State | CA
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Zip | 90807-5606
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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 | ADMINISTRATOR
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Name | KATHLEEN VILLAGOMEZ
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Credential | LCSW
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Telephone | 562-619-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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