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General NPI Number Information
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NPI Number | 1275268906
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Entity Type | Individual
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Provider Name | STEPHANIE STIAVETTI MA, AMFT, APCC
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Gender | Female
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Dates
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Enumeration Date | 07/18/2022
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Last Update Date | 10/01/2023
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Provider Practice Location Address
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Address Line | 6929 FAIR OAKS BLVD UNIT 2216
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City | CARMICHAEL
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State | CA
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Zip | 95609-3587
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Country | US
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Telephone | 916-675-3954
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Fax | 916-581-8698
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Provider Business Mailing Address
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Address Line | 6929 FAIR OAKS BLVD UNIT 2216
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City | CARMICHAEL
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State | CA
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Zip | 95609-3587
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Country | US
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Telephone | 916-675-3954
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Fax | 916-581-8698
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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 | APCC14150
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT140123
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License Number State | CA
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