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General NPI Number Information
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NPI Number | 1760173215
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Entity Type | Organization
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Legal Business Name | OPTIMAL WELLNESS COUNSELING
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Dates
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Enumeration Date | 05/16/2023
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Last Update Date | 05/16/2023
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Provider Practice Location Address
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Address Line | 8333 FOOTHILL BLVD STE 129
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3190
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Country | US
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Telephone | 909-780-9115
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Fax | 909-484-1473
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Provider Business Mailing Address
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Address Line | 8333 FOOTHILL BLVD STE 129
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City | RANCHO CUCAMONGA
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State | CA
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Zip | 91730-3190
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Country | US
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Telephone | 909-780-9115
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Fax | 909-484-1473
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Authorized Official
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Title or Position | OWNER
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Name | JANICE BROWNING
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Credential | LMFT
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Telephone | 909-780-9115
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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