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General NPI Number Information
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NPI Number | 1801563689
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Entity Type | Organization
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Legal Business Name | ARACELI BEJAR LUA LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 08/27/2021
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Last Update Date | 09/24/2022
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Provider Practice Location Address
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Address Line | 1612 17TH AVE
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City | DELANO
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State | CA
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Zip | 93215-1505
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Country | US
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Telephone | 661-514-9636
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 932
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City | DELANO
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State | CA
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Zip | 93216-0932
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Country | US
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Telephone | 661-514-9636
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ARACELI BEJAR LUA
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Credential |
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Telephone | 661-514-9636
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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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