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General NPI Number Information
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NPI Number | 1295533164
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Entity Type | Individual
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Provider Name | HOLLY REDDY AMFT
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Gender | Female
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Dates
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Enumeration Date | 03/05/2025
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 150 E CYPRESS AVE STE 200A
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City | REDDING
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State | CA
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Zip | 96002-0103
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Country | US
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Telephone | 530-691-4577
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 30
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City | SHASTA
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State | CA
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Zip | 96087-0030
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Country | US
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Telephone | 530-691-4577
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 151258
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License Number State | CA
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