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General NPI Number Information
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NPI Number | 1770185456
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Entity Type | Organization
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Legal Business Name | GUIDING HOPE MARRIAGE AND FAMILY THERAPY COUNSELING CORPORATION.
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Dates
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Enumeration Date | 11/09/2020
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 1096 CALIMESA BLVD STE 208
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City | CALIMESA
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State | CA
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Zip | 92320-1563
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Country | US
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Telephone | 909-372-0863
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Fax | 909-253-0199
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Provider Business Mailing Address
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Address Line | 1156 3RD ST
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City | CALIMESA
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State | CA
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Zip | 92320-1648
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Country | US
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Telephone | 951-334-5899
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CANDACE DEESE
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Credential | LMFT
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Telephone | 909-372-0683
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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