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NPI 1295244218

NPI 1295244218 : MRS. CHENENA RASHELLE KNOX-WARD : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1295244218
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    Entity Type          |    Individual 
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    Provider Name        |    MRS. CHENENA RASHELLE KNOX-WARD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/21/2017
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    Last Update Date     |    01/18/2022
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Provider Practice Location Address
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    Address Line         |    4411 N CEDAR AVE STE 108 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93726-2538
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    Country              |    US
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    Telephone            |    559-248-1548
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    5811 E BYRD AVE 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93727
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    Country              |    US
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    Telephone            |    559-351-8336
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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        |    104100000X
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    Taxonomy Name        |    Social Worker
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    License Number       |    
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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       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    CA
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Taxonomy #5
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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 #6
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    ASW91411
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    License Number State |    CA
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