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General NPI Number Information
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NPI Number | 1922641760
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Entity Type | Organization
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Legal Business Name | TRIBUTE COUNSELING & PSYCHOTHERAPY SERVICES
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Dates
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Enumeration Date | 10/24/2019
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Last Update Date | 03/14/2021
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Provider Practice Location Address
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Address Line | 9017 RESEDA BLVD STE 204
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City | NORTHRIDGE
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State | CA
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Zip | 91324-3985
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Country | US
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Telephone | 818-927-1284
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Fax |
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Provider Business Mailing Address
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Address Line | 29140 DIABLO PL
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City | CASTAIC
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State | CA
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Zip | 91384-3544
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Country | US
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Telephone | 818-927-1284
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Fax |
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Authorized Official
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Title or Position | STAFF
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Name | JASON MARCH
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Credential |
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Telephone | 818-927-1284
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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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