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NPI 1811606205

NPI 1811606205 : MONE'T JASMINE DANIELS M.S. : RIVERSIDE, CA

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General NPI Number Information
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    NPI Number           |    1811606205
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    Entity Type          |    Individual 
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    Provider Name        |    MONE'T JASMINE DANIELS M.S.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/15/2022
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    Last Update Date     |    01/24/2023
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Provider Practice Location Address
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    Address Line         |    3576 ARLINGTON AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92506-3943
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    Country              |    US
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    Telephone            |    323-586-3333
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3576 ARLINGTON AVE 
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    City                 |    RIVERSIDE
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    State                |    CA
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    Zip                  |    92506-3943
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    Country              |    US
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    Telephone            |    323-586-7333
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    Fax                  |    
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    11885
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    License Number State |    CA
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