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General NPI Number Information
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NPI Number | 1902353675
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Entity Type | Organization
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Legal Business Name | ALTERNATIVES BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 09/09/2016
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Last Update Date | 09/09/2016
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Provider Practice Location Address
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Address Line | 822 S ROBERTSON BLVD STE 300
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City | LOS ANGELES
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State | CA
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Zip | 90035-1640
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Country | US
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Telephone | 888-532-9137
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Fax |
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Provider Business Mailing Address
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Address Line | 822 S ROBERTSON BLVD STE 300308
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City | LOS ANGELES
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State | CA
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Zip | 90035-1613
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Country | US
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Telephone | 888-532-9137
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MARC F KERN
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Credential | PH.D
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Telephone | 888-532-9137
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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 | PSY8246
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | PSY8246
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License Number State | CA
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