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General NPI Number Information
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NPI Number | 1871411629
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Entity Type | Organization
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Legal Business Name | TWO PALMS FAMILY THERAPY INC.
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 137 CLEARWATER LN
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City | NIPOMO
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State | CA
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Zip | 93444-8964
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Country | US
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Telephone | 805-242-2013
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 158
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City | WRIGHTWOOD
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State | CA
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Zip | 92397-0158
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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 | CEO
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Name | MRS. PATRICIA ELIZABETH HOPE KIMMEL
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Credential | MA, LPCC
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Telephone | 805-242-2013
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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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