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General NPI Number Information
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NPI Number | 1972478964
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Entity Type | Organization
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Legal Business Name | CORNERSTONE FAMILY COUNSELING SERVICES
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Dates
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Enumeration Date | 10/08/2025
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Last Update Date | 01/30/2026
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Provider Practice Location Address
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Address Line | 5078 BULLION ST STE A
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City | MARIPOSA
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State | CA
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Zip | 95338-2416
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Country | US
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Telephone | 559-641-6321
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Fax |
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Provider Business Mailing Address
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Address Line | 49370 ROAD 426 STE B
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City | OAKHURST
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State | CA
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Zip | 93644-9052
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Country | US
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Telephone | 559-641-6321
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/CEO
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Name | SHELLEY DAWN KIMBRELL
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Credential | LMFT
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Telephone | 559-641-6321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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