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NPI 1093679086

NPI 1093679086 : SAGE AND SOUND PROFESSIONAL CLINICAL COUNSELOR INC. : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1093679086
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAGE AND SOUND PROFESSIONAL CLINICAL COUNSELOR INC. 
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Dates
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    Enumeration Date     |    12/12/2025
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    Last Update Date     |    12/12/2025
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Provider Practice Location Address
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    Address Line         |    1527 19TH ST STE 330 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4465
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    Country              |    US
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    Telephone            |    949-342-8600
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    Fax                  |    949-342-8692
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Provider Business Mailing Address
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    Address Line         |    1527 19TH ST STE 330 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93301-4465
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    Country              |    US
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    Telephone            |    949-342-8600
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    Fax                  |    949-342-8692
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Authorized Official
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    Title or Position    |    PRESIDENT/THERAPIST
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    Name                 |     MARI  BURGESS 
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    Credential           |    LPCC
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    Telephone            |    949-324-8600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    
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    License Number State |    
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