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General NPI Number Information
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NPI Number | 1003417098
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Entity Type | Individual
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Provider Name | LIZ CAMARENA-WEST MSCP, LMFT
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Gender | Female
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Dates
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Enumeration Date | 11/05/2020
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 9260 ALCOSTA BLVD STE A5
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City | SAN RAMON
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State | CA
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Zip | 94583-4132
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Country | US
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Telephone | 650-762-6062
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 483
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City | EL GRANADA
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State | CA
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Zip | 94018-0483
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Country | US
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Telephone | 650-762-6062
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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 | 121384
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 145301
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 8429
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 145301
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License Number State | CA
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