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General NPI Number Information
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NPI Number | 1891650172
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Entity Type | Organization
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Legal Business Name | JAEL HUIZAR, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/18/2025
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Last Update Date | 12/18/2025
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Provider Practice Location Address
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Address Line | 1101 CALIFORNIA AVE
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City | CORONA
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State | CA
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Zip | 92881-6470
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Country | US
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Telephone | 951-258-8907
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Fax |
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Provider Business Mailing Address
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Address Line | 13506 PALOMINO CREEK DR
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City | CORONA
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State | CA
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Zip | 92883-6282
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Country | US
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Telephone | 951-258-8907
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAEL HUIZAR
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Credential | LMFT
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Telephone | 951-258-8907
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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