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NPI 1104441757

NPI 1104441757 : C&B FAMILY CORPORATION : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1104441757
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    Entity Type          |    Organization 
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    Legal Business Name  |    C&B FAMILY CORPORATION 
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Dates
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    Enumeration Date     |    06/10/2020
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    Last Update Date     |    12/23/2022
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Provider Practice Location Address
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    Address Line         |    2020 29TH ST STE 205 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-1119
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    Country              |    US
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    Telephone            |    916-495-4561
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    Fax                  |    916-706-0929
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Provider Business Mailing Address
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    Address Line         |    2020 29TH ST STE 205 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95817-1119
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    Country              |    US
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    Telephone            |    916-495-4561
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    Fax                  |    916-706-0929
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Authorized Official
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    Title or Position    |    FOUNDER, C.E.O.
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    Name                 |     RABIIA  ABDUL-ALI 
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    Credential           |    LMFT
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    Telephone            |    916-495-4561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    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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