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General NPI Number Information
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NPI Number | 1295142826
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Entity Type | Individual
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Provider Name | ROSHAWN RENEE ADAMS CADC III
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 251 GEORGIA ST
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City | VALLEJO
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State | CA
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Zip | 94590-5905
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Country | US
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Telephone | 707-558-8195
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Fax | 707-558-8196
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Provider Business Mailing Address
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Address Line | 1849 CLAY ST
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City | FAIRFIELD
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State | CA
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Zip | 94533-3810
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Country | US
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Telephone | 707-563-7272
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Fax | 707-558-8196
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Authorized Official
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Title or Position |
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Name |
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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 | B00002810223
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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