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General NPI Number Information
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NPI Number | 1932058237
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Entity Type | Organization
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Legal Business Name | ROOTED CONNECTIONS INDIVIDUAL & FAMILY THERAPY, PC
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Dates
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Enumeration Date | 01/28/2026
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Last Update Date | 01/28/2026
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Provider Practice Location Address
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Address Line | 3350 SHELBY STREET SUITE 200
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City | ONTARIO
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State | CA
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Zip | 91764
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Country | US
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Telephone | 626-715-4171
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Fax |
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Provider Business Mailing Address
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Address Line | 2058 N MILLS AVE # 423
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City | CLAREMONT
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State | CA
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Zip | 91711-2812
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | THERAPIST/ OWNER
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Name | JESSICA PALOMO
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Credential | LMFT
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Telephone | 626-715-4171
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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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