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General NPI Number Information
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NPI Number | 1760783989
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Entity Type | Organization
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Legal Business Name | KINGS COUNSELING CENTER
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Dates
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Enumeration Date | 11/04/2010
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Last Update Date | 11/16/2010
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Provider Practice Location Address
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Address Line | 808 N IRWIN ST
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City | HANFORD
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State | CA
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Zip | 93230-3838
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Country | US
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Telephone | 559-584-2819
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Fax | 559-584-2820
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Provider Business Mailing Address
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Address Line | 808 N IRWIN ST
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City | HANFORD
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State | CA
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Zip | 93230-3838
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Country | US
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Telephone | 559-584-2819
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Fax | 559-584-2820
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Authorized Official
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Title or Position | LMFT (LIC. MFC 48243)
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Name | MRS. SONIA A. YEMENJIAN
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Credential | M.S. PPS
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Telephone | 559-584-2819
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFC 48243
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License Number State | CA
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