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General NPI Number Information
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NPI Number | 1053892331
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Entity Type | Individual
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Provider Name | SARAH MICHELLE MUGFORD MA, AMFT, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/24/2018
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 11526 SORRENTO VALLEY RD
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City | SAN DIEGO
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State | CA
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Zip | 92121-1346
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Country | US
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Telephone | 619-625-9564
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Fax |
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Provider Business Mailing Address
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Address Line | 20042 DEERHORN VALLEY RD
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City | JAMUL
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State | CA
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Zip | 91935-7921
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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 |
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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 | 13954
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License Number State | CA
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