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General NPI Number Information
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NPI Number | 1912830308
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Entity Type | Organization
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Legal Business Name | C&C CENTER FOR HEALING
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Dates
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Enumeration Date | 06/04/2026
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Last Update Date | 06/04/2026
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Provider Practice Location Address
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Address Line | 501 W REDLANDS BLVD STE B
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City | REDLANDS
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State | CA
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Zip | 92373-4642
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Country | US
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Telephone | 909-686-6233
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Fax | 909-353-4985
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Provider Business Mailing Address
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Address Line | 501 W REDLANDS BLVD STE B
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City | REDLANDS
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State | CA
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Zip | 92373-4642
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Country | US
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Telephone | 715-559-9909
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | STEPHANIE CAMPOS
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Credential | ACSW
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Telephone | 626-559-7606
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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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