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General NPI Number Information
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NPI Number | 1962361410
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Entity Type | Organization
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Legal Business Name | ZEALOUS THERAPY
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 01/20/2026
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Provider Practice Location Address
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Address Line | 4555 30TH ST APT 346
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City | SAN DIEGO
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State | CA
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Zip | 92116-4584
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Country | US
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Telephone | 707-695-3275
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Fax | 707-841-5051
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Provider Business Mailing Address
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Address Line | 4555 30TH ST APT 346
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City | SAN DIEGO
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State | CA
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Zip | 92116-4584
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Country | US
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Telephone | 707-695-3275
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Fax | 707-841-5051
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Authorized Official
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Title or Position | OWNER
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Name | ERIK JACOB ERICKSON
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Credential | LCSW
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Telephone | 707-941-0082
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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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