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General NPI Number Information
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NPI Number | 1922914175
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Entity Type | Organization
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Legal Business Name | SAFE HAVEN THERAPY INC.
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 1050 LAKES DR STE 225
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City | WEST COVINA
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State | CA
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Zip | 91790-2910
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Country | US
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Telephone | 213-375-8257
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Fax | 213-931-4824
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Provider Business Mailing Address
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Address Line | 1509 BLUFF CT
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City | DIAMOND BAR
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State | CA
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Zip | 91765-4301
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Country | US
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Telephone | 323-219-2098
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Fax | 213-931-4824
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Authorized Official
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Title or Position | LICENSED MARRIAGE FAMILY THERAPIST
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Name | KATHLEEN ROSE MALDONADO
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Credential | MA, LMFT
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Telephone | 213-375-8257
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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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