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General NPI Number Information
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NPI Number | 1992500805
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Entity Type | Organization
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Legal Business Name | MARIPOSA FAMILY COUNSELING INC.
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Dates
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Enumeration Date | 02/14/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 550 WATER ST STE F2
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City | SANTA CRUZ
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State | CA
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Zip | 95060-4131
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Country | US
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Telephone | 831-515-6252
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Fax |
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Provider Business Mailing Address
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Address Line | 350 STANFORD AVE
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City | SANTA CRUZ
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State | CA
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Zip | 95062-1108
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Country | US
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Telephone | 831-234-1127
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAIST
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Name | DANA ELAINE SCHLICK
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Credential | LMFT
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Telephone | 831-515-8262
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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 |
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License Number State |
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