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General NPI Number Information
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NPI Number | 1942991229
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Entity Type | Organization
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Legal Business Name | ANDREW COHEN CHILD AND FAMILY THERAPY CORP
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Dates
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Enumeration Date | 05/17/2023
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Last Update Date | 05/17/2023
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Provider Practice Location Address
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Address Line | 3625 E THOUSAND OAKS BLVD STE 345
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3583
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Country | US
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Telephone | 805-464-6865
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Fax |
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Provider Business Mailing Address
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Address Line | 3625 E THOUSAND OAKS BLVD STE 345
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City | WESTLAKE VILLAGE
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State | CA
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Zip | 91362-3583
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Country | US
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Telephone | 805-464-6865
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. ANDREW COHEN
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Credential | MS LMFT
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Telephone | 805-464-6865
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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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