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General NPI Number Information
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NPI Number | 1205758828
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Entity Type | Organization
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Legal Business Name | SOUL JOURNEY PSYCHOTHERAPY PC
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Dates
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Enumeration Date | 07/27/2026
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Last Update Date | 07/27/2026
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Provider Practice Location Address
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Address Line | 2320 E BIDWELL ST STE 100
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City | FOLSOM
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State | CA
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Zip | 95630-3561
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Country | US
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Telephone | 916-761-5492
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Fax |
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Provider Business Mailing Address
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Address Line | 2320 E BIDWELL ST STE 100
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City | FOLSOM
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State | CA
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Zip | 95630-3561
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Country | US
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Telephone | 916-761-5492
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | HEATHER NORTON MOSS
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Credential | LMFT
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Telephone | 916-761-5492
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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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