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General NPI Number Information
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NPI Number | 1992294029
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Entity Type | Individual
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Provider Name | CHRISSY BARLAHAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/03/2018
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Last Update Date | 11/10/2022
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Provider Practice Location Address
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Address Line | 1617 S PACIFIC COAST HWY STE E
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City | REDONDO BEACH
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State | CA
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Zip | 90277-5612
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Country | US
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Telephone | 702-546-8234
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Fax |
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Provider Business Mailing Address
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Address Line | 4067 NEWTON ST
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City | TORRANCE
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State | CA
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Zip | 90505-6424
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Country | US
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Telephone | 702-580-6644
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 135450
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License Number State | CA
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