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General NPI Number Information
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NPI Number | 1902657869
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Entity Type | Individual
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Provider Name | SHANNON M ALGEO MA, AMFT, APCC
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Gender | Male
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Dates
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Enumeration Date | 03/28/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 200 E DEL MAR BLVD STE 160
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City | PASADENA
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State | CA
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Zip | 91105-2507
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Country | US
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Telephone | 310-400-6460
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Fax |
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Provider Business Mailing Address
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Address Line | 201 OJAI AVE UNIT 515
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City | OJAI
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State | CA
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Zip | 93024-7020
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Country | US
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Telephone | 323-736-2007
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 13859
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 139516
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License Number State | CA
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