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NPI 1225965825

NPI 1225965825 : FULL CIRCLE FAMILY COUNSELING INC : ROCKLIN, CA

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General NPI Number Information
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    NPI Number           |    1225965825
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    Entity Type          |    Organization 
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    Legal Business Name  |    FULL CIRCLE FAMILY COUNSELING INC 
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Dates
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    Enumeration Date     |    05/06/2026
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    Last Update Date     |    05/06/2026
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Provider Practice Location Address
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    Address Line         |    5701 LONETREE BLVD STE 203 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95765-3794
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    Country              |    US
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    Telephone            |    916-250-3108
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    Fax                  |    916-496-3952
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Provider Business Mailing Address
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    Address Line         |    5701 LONETREE BLVD STE 203 
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    City                 |    ROCKLIN
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    State                |    CA
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    Zip                  |    95765-3794
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    Country              |    US
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    Telephone            |    916-250-3108
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    Fax                  |    916-496-3952
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     COURTNEY  BRAIN 
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    Credential           |    
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    Telephone            |    916-250-3108
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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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Taxonomy #2
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    Taxonomy Code        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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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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