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General NPI Number Information
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NPI Number | 1962762807
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Entity Type | Organization
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Legal Business Name | HUMANISTIC COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 05/25/2012
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Last Update Date | 05/25/2012
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Provider Practice Location Address
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Address Line | 12981 PERRIS BLVD SUITE 107
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City | MORENO VALLEY
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State | CA
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Zip | 92553-4102
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Country | US
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Telephone | 951-243-3500
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Fax | 951-243-3566
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Provider Business Mailing Address
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Address Line | 1942 MOUNT VERDUGO LN
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City | PERRIS
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State | CA
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Zip | 92571-6507
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Country | US
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Telephone | 909-272-8547
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. BRENDA M. REES
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Credential | LCSW
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Telephone | 909-229-4312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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