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1720868474
TARA DIANE PENTECOST
ANAHEIM, CA
NPI
1720868474
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
(Licence: CA 138280)
Enumeration Date
2023-10-02
Last Update Date
2023-10-02
Business Address
TARA DIANE PENTECOST LMFT
1478 E LINCOLN AVE
ANAHEIM, CA 92805-2213
Phone number: 714-776-2500
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Mailing Address
TARA DIANE PENTECOST LMFT
6401 E NOHL RANCH RD APT 96
ANAHEIM, CA 92807-4893
Phone number: 714-606-5073
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