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NPI 1770073397

NPI 1770073397 : CHRISTINE STELLINO : LOS ANGELES, CA

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General NPI Number Information
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    NPI Number           |    1770073397
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINE STELLINO
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/18/2018
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    Last Update Date     |    03/23/2023
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Provider Practice Location Address
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    Address Line         |    6636 SELMA AVE 
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    City                 |    LOS ANGELES
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    State                |    CA
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    Zip                  |    90028-7115
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    Country              |    US
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    Telephone            |    714-595-0771
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    Fax                  |    323-378-3224
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Provider Business Mailing Address
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    Address Line         |    1901 E CENTER ST 
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    City                 |    ANAHEIM
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    State                |    CA
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    Zip                  |    92805-3457
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    Country              |    US
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    Telephone            |    714-780-0750
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    Fax                  |    714-780-0757
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    ASW102438
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    License Number State |    CA
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