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General NPI Number Information
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NPI Number | 1760264782
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Entity Type | Organization
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Legal Business Name | PRISCILLA JOUVIN PSYCHOTHERAPY
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 11760 CARMEL CREEK RD # F305
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City | SAN DIEGO
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State | CA
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Zip | 92130-6754
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Country | US
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Telephone | 909-523-4191
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Fax |
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Provider Business Mailing Address
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Address Line | 11760 CARMEL CREEK RD # F305
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City | SAN DIEGO
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State | CA
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Zip | 92130-6754
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Country | US
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Telephone | 909-523-4191
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Fax |
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Authorized Official
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Title or Position | OWNER AND LMFT
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Name | PRISCILLA JOUVIN
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Credential | MS, LMFT
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Telephone | 909-532-4191
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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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