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General NPI Number Information
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NPI Number | 1174365662
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Entity Type | Organization
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Legal Business Name | THE SOUND MIND
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 355 HEMSTED DR STE 101
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City | REDDING
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State | CA
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Zip | 96002-0955
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Country | US
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Telephone | 530-215-3632
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Fax | 530-215-1173
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Provider Business Mailing Address
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Address Line | 355 HEMSTED DR STE 101
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City | REDDING
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State | CA
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Zip | 96002-0955
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Country | US
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Telephone | 530-215-3632
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Fax | 530-215-1173
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Authorized Official
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Title or Position | OWNER
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Name | TERI WATTS
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Credential |
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Telephone | 530-349-0600
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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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