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General NPI Number Information
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NPI Number | 1093813917
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Entity Type | Organization
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Legal Business Name | HUMBOLDT FAMILY SERVICE CENTER
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Dates
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Enumeration Date | 09/21/2006
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Last Update Date | 08/20/2025
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Provider Practice Location Address
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Address Line | 1802 CALIFORNIA STREET
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City | EUREKA
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State | CA
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Zip | 95501-2808
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Country | US
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Telephone | 707-443-7358
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Fax | 707-443-1092
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Provider Business Mailing Address
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Address Line | PO BOX 2005
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City | EUREKA
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State | CA
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Zip | 95502
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Country | US
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Telephone | 707-443-7358
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Fax | 707-443-1902
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | ELIZABETH SEAL
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Credential | LMFT
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Telephone | 707-443-7358
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | 391573
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License Number State | CA
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