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General NPI Number Information
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NPI Number | 1902758782
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Entity Type | Organization
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Legal Business Name | COLBI PICKL LICENSED CLINICAL SOCIAL WORKER INCORPORATED
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Dates
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Enumeration Date | 02/12/2026
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 1096 CALIMESA BLVD STE D
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City | CALIMESA
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State | CA
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Zip | 92320-1559
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Country | US
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Telephone | 909-235-6042
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Fax | 909-760-5383
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Provider Business Mailing Address
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Address Line | 1096 CALIMESA BLVD STE D
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City | CALIMESA
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State | CA
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Zip | 92320-1559
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Country | US
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Telephone | 909-235-6042
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Fax | 909-760-5383
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Authorized Official
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Title or Position | PRESIDENT
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Name | COLBI RAE PICKL
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Credential |
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Telephone | 909-235-6042
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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