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General NPI Number Information
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NPI Number | 1992514871
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Entity Type | Organization
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Legal Business Name | THE REFLECTION SPOT INDIVIDUAL & FAMILY THERAPY
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Dates
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Enumeration Date | 01/06/2025
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Last Update Date | 01/06/2025
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Provider Practice Location Address
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Address Line | 2420 RIVER RD # 240-5074
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City | NORCO
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State | CA
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Zip | 92860-2268
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Country | US
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Telephone | 951-456-2253
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Fax |
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Provider Business Mailing Address
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Address Line | 2420 RIVER RD # 240-5074
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City | NORCO
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State | CA
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Zip | 92860-2268
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER & LICENSED THERAPIST
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Name | TAYLOR JEAN PAULSON
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Credential | LMFT, APCC
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Telephone | 951-456-2253
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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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