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General NPI Number Information
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NPI Number | 1841971157
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Entity Type | Organization
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Legal Business Name | HERITAGE COUNSELING SERVICES
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Dates
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Enumeration Date | 07/28/2023
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 5300 CALIFORNIA AVE STE 220E
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City | BAKERSFIELD
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State | CA
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Zip | 93309-1664
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Country | US
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Telephone | 661-863-1053
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Fax | 661-368-8488
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Provider Business Mailing Address
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Address Line | 6901 INWOOD DR
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City | BAKERSFIELD
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State | CA
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Zip | 93309-4344
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Country | US
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Telephone | 661-863-1053
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Fax | 661-368-8488
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | MELINDA ANN HERNDON
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Credential | LCSW
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Telephone | 661-863-1053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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