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General NPI Number Information
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NPI Number | 1104706522
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Entity Type | Individual
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Provider Name | CECELIA LYNETT MCGRATH
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Gender | Female
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Dates
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Enumeration Date | 09/05/2025
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Last Update Date | 09/05/2025
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Provider Practice Location Address
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Address Line | 1889 LAWRENCE RD
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City | SANTA CLARA
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State | CA
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Zip | 95051-2166
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Country | US
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Telephone | 570-561-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 1987 CALIFORNIA ST APT 101
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-4412
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 20204
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License Number State | CA
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