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General NPI Number Information
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NPI Number | 1932718954
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Entity Type | Organization
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Legal Business Name | DISCOVERING PEACE FAMILY COUNSELING PROF CORP
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 03/14/2021
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Provider Practice Location Address
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Address Line | 3200 E GUASTI RD STE 100
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City | ONTARIO
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State | CA
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Zip | 91761-8661
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Country | US
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Telephone | 909-515-0121
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Fax | 909-757-7656
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Provider Business Mailing Address
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Address Line | 3200 E GUASTI RD STE 100
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City | ONTARIO
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State | CA
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Zip | 91761-8661
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Country | US
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Telephone | 909-515-0121
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Fax | 909-757-7656
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | DELSETA ROBINSON
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Credential | LMFT
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Telephone | 909-515-0121
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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