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General NPI Number Information
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NPI Number | 1841101656
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Entity Type | Organization
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Legal Business Name | GROWTHWORKS PROFESSIONAL CLINICAL COUNSELOR PC
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Dates
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Enumeration Date | 09/14/2026
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Last Update Date | 09/14/2026
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Provider Practice Location Address
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Address Line | 23121 VERDUGO DR STE 204
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City | LAGUNA HILLS
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State | CA
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Zip | 92653-1339
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Country | US
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Telephone | 949-424-2950
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Fax |
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Provider Business Mailing Address
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Address Line | 27068 LA PAZ RD # 712
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City | ALISO VIEJO
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State | CA
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Zip | 92656-3041
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Country | US
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Telephone | 949-424-2950
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICIAN
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Name | MS. BEVERLY ODEN
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Credential | LPCC
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Telephone | 949-828-7610
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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 |
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License Number State |
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