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General NPI Number Information
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NPI Number | 1134095037
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Entity Type | Organization
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Legal Business Name | VICTOR COMMUNITY SUPPORT SERVICES
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Dates
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Enumeration Date | 10/16/2025
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Last Update Date | 10/16/2025
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Provider Practice Location Address
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Address Line | 1520 EUREKA RD STE 102
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City | ROSEVILLE
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State | CA
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Zip | 95661-2849
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Country | US
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Telephone | 916-751-0154
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Fax |
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Provider Business Mailing Address
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Address Line | 1520 EUREKA RD STE 102
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City | ROSEVILLE
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State | CA
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Zip | 95661-2849
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Country | US
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Telephone | 916-751-0154
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JASLEEN KAUR TOMM
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Credential | LCSW
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Telephone | 530-635-2204
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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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