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General NPI Number Information
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NPI Number | 1043935653
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Entity Type | Organization
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Legal Business Name | SC MARRIAGE AND FAMILY THERAPY INC.
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Dates
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Enumeration Date | 10/06/2022
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Last Update Date | 10/06/2022
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Provider Practice Location Address
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Address Line | 2399 AMERICAN RIVER DR
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City | SACRAMENTO
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State | CA
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Zip | 95825-7070
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Country | US
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Telephone | 650-241-0709
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Fax |
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Provider Business Mailing Address
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Address Line | 9500 KIEFER BLVD UNIT 279021
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City | SACRAMENTO
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State | CA
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Zip | 95827-4219
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Country | US
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Telephone | 650-241-0709
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Fax |
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MR. SEAN CHATMON
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Credential | LMFT
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Telephone | 650-241-0709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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