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General NPI Number Information
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NPI Number | 1306797527
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Entity Type | Organization
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Legal Business Name | RESILIENT RESPONSE PSYCHOTHERAPY SERVICES, INC
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Dates
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Enumeration Date | 02/04/2026
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Last Update Date | 02/15/2026
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Provider Practice Location Address
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Address Line | 6518 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-272-5025
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Fax |
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Provider Business Mailing Address
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Address Line | 6518 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-235-0889
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHEA PHINNEY
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Credential | LMFT
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Telephone | 916-235-0889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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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