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General NPI Number Information
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NPI Number | 1871899765
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Entity Type | Organization
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Legal Business Name | CONNECTING MENTAL HEALTH AND EDUCATION, INC.
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Dates
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Enumeration Date | 02/10/2011
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Last Update Date | 02/10/2011
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Provider Practice Location Address
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Address Line | 901 N PACIFIC COAST HWY
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2162
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Country | US
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Telephone | 310-316-1610
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Fax |
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Provider Business Mailing Address
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Address Line | 901 N PACIFIC COAST HWY
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City | REDONDO BEACH
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State | CA
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Zip | 90277-2162
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Country | US
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Telephone | 310-316-1610
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Fax |
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Authorized Official
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Title or Position | MFT SUPERVISOR
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Name | MS. TERRY HAVILLAND
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Credential | MFT
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Telephone | 310-316-1610
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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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