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General NPI Number Information
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NPI Number | 1912562877
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Entity Type | Organization
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Legal Business Name | INSIDE OUT COUNSELING SERVICES INC
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Dates
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Enumeration Date | 05/07/2019
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Last Update Date | 05/08/2019
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Provider Practice Location Address
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Address Line | 2522 CHAMBERS RD STE 125
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City | TUSTIN
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State | CA
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Zip | 92780-6962
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Country | US
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Telephone | 949-463-4949
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Fax |
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Provider Business Mailing Address
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Address Line | 2522 CHAMBERS RD STE 125
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City | TUSTIN
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State | CA
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Zip | 92780-6962
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Country | US
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Telephone | 949-463-4949
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. ROSA NELY ESTRADA
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Credential | M.A., LMFT
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Telephone | 949-463-4949
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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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