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General NPI Number Information
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NPI Number | 1194448274
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Entity Type | Individual
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Provider Name | MARISA SOMMERHALDER AMFT
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Gender | Female
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Dates
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Enumeration Date | 09/22/2022
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 35 QUAIL CT STE 102
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City | WALNUT CREEK
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State | CA
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Zip | 94596-5590
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Country | US
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Telephone | 925-899-8857
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Fax |
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Provider Business Mailing Address
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Address Line | 783 DIABLO RD
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City | DANVILLE
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State | CA
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Zip | 94526-2731
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Country | US
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Telephone | 925-899-8857
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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 | 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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