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General NPI Number Information
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NPI Number | 1891667002
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Entity Type | Organization
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Legal Business Name | CENTER FOR GROWTH AND CONNECTION, A PROFESSIONAL CLINICAL COUNSELOR CORPORATION
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Dates
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Enumeration Date | 09/18/2025
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Last Update Date | 09/18/2025
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Provider Practice Location Address
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Address Line | 301 E COLORADO BLVD STE 860
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City | PASADENA
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State | CA
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Zip | 91101-6151
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Country | US
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Telephone | 626-609-2580
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Fax |
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Provider Business Mailing Address
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Address Line | 301 E COLORADO BLVD STE 860
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City | PASADENA
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State | CA
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Zip | 91101-6151
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Country | US
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Telephone | 626-609-2580
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. MICHELLE D CANTRELL
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Credential | LPCC
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Telephone | 626-609-2580
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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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