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General NPI Number Information
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NPI Number | 1952077570
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Entity Type | Organization
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Legal Business Name | ABOVEBOARD CONSULTING & MARRIAGE COUNSELING SERVICES, INC
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Dates
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Enumeration Date | 08/23/2021
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Last Update Date | 08/23/2021
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Provider Practice Location Address
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Address Line | 5880 FAIR ISLE DR APT 275
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City | RIVERSIDE
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State | CA
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Zip | 92507-8462
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Country | US
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Telephone | 951-232-2450
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Fax |
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Provider Business Mailing Address
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Address Line | 5880 FAIR ISLE DR APT 275
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City | RIVERSIDE
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State | CA
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Zip | 92507-8462
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Country | US
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Telephone | 951-232-2450
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEANA KAHLE
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Credential | LMFT
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Telephone | 951-232-2450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TP2701X
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Taxonomy Name | Group Psychotherapy Psychologist
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License Number |
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License Number State |
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