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General NPI Number Information
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NPI Number | 1770157166
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Entity Type | Organization
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Legal Business Name | A&B FAMILY THERAPY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 438 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6114
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Country | US
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Telephone | 408-800-3319
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Fax | 408-413-1084
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Provider Business Mailing Address
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Address Line | 438 S MURPHY AVE
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City | SUNNYVALE
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State | CA
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Zip | 94086-6114
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Country | US
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Telephone | 408-800-3319
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Fax | 408-413-1084
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Authorized Official
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Title or Position | LMFT
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Name | ARLENE TICOULET
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Credential | MA
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Telephone | 408-800-3319
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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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