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General NPI Number Information
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NPI Number | 1245776855
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Entity Type | Individual
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Provider Name | AMBER CHOISELLA THUSTON MSC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 01/06/2017
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Last Update Date | 02/23/2023
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Provider Practice Location Address
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Address Line | 948 SACRAMENTO AVE
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City | WEST SACRAMENTO
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State | CA
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Zip | 95605
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Country | US
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Telephone | 916-254-0650
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Fax |
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Provider Business Mailing Address
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Address Line | 2610 FOOTHILL DR
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City | CARMICHAEL
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State | CA
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Zip | 95608-4259
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Country | US
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Telephone | 916-266-3518
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | APCC5461
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC13283
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License Number State | CA
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