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General NPI Number Information
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NPI Number | 1013694405
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Entity Type | Individual
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Provider Name | NINA CHERINGTON AMFT
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Gender | Female
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 418 ALHAMBRA BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95816-3362
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Country | US
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Telephone | 916-717-1725
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Fax |
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Provider Business Mailing Address
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Address Line | 381 TILTON RD
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City | SEBASTOPOL
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State | CA
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Zip | 95472-9120
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Country | US
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Telephone | 415-816-4215
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 122699
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License Number State | CA
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