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General NPI Number Information
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NPI Number | 1790508448
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Entity Type | Organization
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Legal Business Name | CHRISTY MERRINER FAMILY PSYCHOTHERAPY PC
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Dates
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Enumeration Date | 11/01/2024
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Last Update Date | 10/30/2025
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Provider Practice Location Address
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Address Line | 5478 WILSHIRE BLVD STE 215
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City | LOS ANGELES
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State | CA
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Zip | 90036-4225
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Country | US
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Telephone | 323-250-2482
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Fax |
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Provider Business Mailing Address
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Address Line | 249 AVENIDA MONTALVO APT 6
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-4463
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Country | US
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Telephone | 917-664-9940
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | CHRISTY LYNN MERRINER
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Credential | LMFT
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Telephone | 917-664-9940
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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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