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General NPI Number Information
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NPI Number | 1356980866
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Entity Type | Organization
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Legal Business Name | CATHIE GORDON PSYCHOTHERAPY
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 12/31/2019
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Provider Practice Location Address
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Address Line | 829 JEFFERSON ST
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City | NAPA
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State | CA
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Zip | 94559-2422
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Country | US
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Telephone | 707-337-4547
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Fax |
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Provider Business Mailing Address
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Address Line | 3318 HOMESTEAD CT
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City | NAPA
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State | CA
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Zip | 94558-4275
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Country | US
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Telephone | 707-337-4547
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CATHERINE GORDON
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Credential | MA, LMFT, LPCC
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Telephone | 707-337-4547
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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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Taxonomy #2
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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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 | 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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