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General NPI Number Information
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NPI Number | 1144149139
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Entity Type | Organization
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Legal Business Name | SIX RIVERS WELLNESS
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Dates
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Enumeration Date | 07/13/2026
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Last Update Date | 07/13/2026
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Provider Practice Location Address
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Address Line | 920 SAMOA BLVD STE 209
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City | ARCATA
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State | CA
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Zip | 95521-6696
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Country | US
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Telephone | 707-940-9528
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Fax | 707-261-0541
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Provider Business Mailing Address
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Address Line | PO BOX 1254
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City | WILLOW CREEK
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State | CA
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Zip | 95573-1254
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Country | US
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Telephone | 707-940-9528
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Fax | 707-261-0541
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Authorized Official
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Title or Position | AMFT
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Name | ALEXA SHOCKLEY
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Credential |
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Telephone | 408-476-4493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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