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NPI 1104500057

NPI 1104500057 : CURIOSITY CENTER PROFESSIONAL CLINICAL COUNSELOR SERVICES PC : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1104500057
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    Entity Type          |    Organization 
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    Legal Business Name  |    CURIOSITY CENTER PROFESSIONAL CLINICAL COUNSELOR SERVICES PC 
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Dates
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    Enumeration Date     |    06/12/2023
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    Last Update Date     |    01/12/2025
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Provider Practice Location Address
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    Address Line         |    2108 N ST STE 5934 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95816-5712
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    Country              |    US
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    Telephone            |    650-530-0490
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 2349 
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    City                 |    PLEASANT HILL
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    State                |    CA
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    Zip                  |    94523-0049
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    Country              |    US
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    Telephone            |    650-530-0490
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     PYAR  KHATRI 
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    Credential           |    LPCC
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    Telephone            |    650-530-0490
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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       |    
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    License Number State |    
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