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General NPI Number Information
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NPI Number | 1326739384
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Entity Type | Organization
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Legal Business Name | BRIDGES FAMILY COUNSELING INC.
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Dates
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Enumeration Date | 05/18/2023
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Last Update Date | 11/16/2023
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Provider Practice Location Address
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Address Line | 2715 K ST STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-5139
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Country | US
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Telephone | 916-806-7153
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 K ST STE 200
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City | SACRAMENTO
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State | CA
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Zip | 95816-5139
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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 | EXECUTIVE ASSISTANT
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Name | OLIVIA PARK
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Credential |
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Telephone | 714-791-2019
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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 |
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License Number State |
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