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General NPI Number Information
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NPI Number | 1780410167
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Entity Type | Organization
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Legal Business Name | REFLECT CHRISTIAN COUNSELING, INC
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Dates
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Enumeration Date | 09/11/2024
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Last Update Date | 09/11/2024
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Provider Practice Location Address
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Address Line | 4550 CALIFORNIA AVE STE 670
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7012
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Country | US
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Telephone | 661-205-5325
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Fax |
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Provider Business Mailing Address
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Address Line | 4550 CALIFORNIA AVE STE 670
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City | BAKERSFIELD
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State | CA
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Zip | 93309-7012
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Country | US
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Telephone | 661-205-5325
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | PATRICK MIDDLETON
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Credential |
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Telephone | 661-205-5325
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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 |
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License Number State |
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