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General NPI Number Information
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NPI Number | 1295688208
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Entity Type | Individual
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Provider Name | SALLY GAY JUAREZ LPCC
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Gender | Female
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Dates
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Enumeration Date | 02/18/2026
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Last Update Date | 02/18/2026
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Provider Practice Location Address
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Address Line | 8979 BALSA AVE
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City | YUCCA VALLEY
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State | CA
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Zip | 92284-6378
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Country | US
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Telephone | 951-497-0003
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Fax |
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Provider Business Mailing Address
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Address Line | 3380 W WASHITA ST
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City | SPRINGFIELD
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State | MO
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Zip | 65807-2139
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC19646
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License Number State | CA
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