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General NPI Number Information
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NPI Number | 1790650083
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Entity Type | Organization
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Legal Business Name | ART THERAPY FOR ALL
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 6919 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1245
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Country | US
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Telephone | 503-926-0081
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Fax |
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Provider Business Mailing Address
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Address Line | 6919 N FIGUEROA ST
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City | LOS ANGELES
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State | CA
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Zip | 90042-1245
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Country | US
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Telephone | 503-926-0081
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JESSICA L MINCKLEY
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Credential | LMHC ATR-BC
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Telephone | 503-926-0081
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101200000X
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Taxonomy Name | Drama Therapist
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License Number |
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License Number State |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number |
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License Number State |
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