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General NPI Number Information
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NPI Number | 1992377121
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Entity Type | Organization
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Legal Business Name | GOVINDA BADER MARRIAGE AND FAMILY THERAPY & COACHING INC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 07/16/2021
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Provider Practice Location Address
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Address Line | 1534 KOWALSKI AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93101-4720
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Country | US
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Telephone | 415-225-9666
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 KOWALSKI AVE
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City | SANTA BARBARA
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State | CA
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Zip | 93101-4720
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Country | US
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Telephone | 415-225-9666
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MR. GOVINDA BADER
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Credential | MFT
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Telephone | 415-225-9666
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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