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General NPI Number Information
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NPI Number | 1336029040
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Entity Type | Organization
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Legal Business Name | PSYCHNP CONSULTANTS, INC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 7104 SANTA JUANITA AVE
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City | ORANGEVALE
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State | CA
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Zip | 95662-2832
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Country | US
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Telephone | 800-205-6107
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Fax | 916-760-4435
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Provider Business Mailing Address
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Address Line | 7880 ALTA VALLEY DR STE 107
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City | SACRAMENTO
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State | CA
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Zip | 95823-4908
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Country | US
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Telephone | 800-205-6107
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Fax | 916-760-4435
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Authorized Official
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Title or Position | CEO
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Name | MRS. VICKY MAGOBET
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Credential | PMHNP-BC
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Telephone | 916-633-8353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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