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General NPI Number Information
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NPI Number | 1801297866
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Entity Type | Organization
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Legal Business Name | KATHARINE ALBERT LCSW & ASSOCIATES
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Dates
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Enumeration Date | 09/09/2014
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Last Update Date | 09/09/2014
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Provider Practice Location Address
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Address Line | 405 N INDIAN HILL BLVD
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City | CLAREMONT
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State | CA
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Zip | 91711-4614
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Country | US
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Telephone | 909-962-8552
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 655
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City | CLAREMONT
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State | CA
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Zip | 91711-0655
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. KATHARINE ALBERT
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Credential | LCSW
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Telephone | 909-816-3252
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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 | LCS 28331
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License Number State | CA
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