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NPI 1366800989

NPI 1366800989 : FRANCINE FARRELL & ASSOCIATES, PC : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1366800989
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    Entity Type          |    Organization 
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    Legal Business Name  |    FRANCINE FARRELL & ASSOCIATES, PC 
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Dates
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    Enumeration Date     |    02/10/2016
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    Last Update Date     |    02/10/2016
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Provider Practice Location Address
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    Address Line         |    3838 WATT AVE STE C300 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95821-2664
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    Country              |    US
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    Telephone            |    916-971-1159
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    Fax                  |    888-300-1156
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Provider Business Mailing Address
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    Address Line         |    3838 WATT AVE STE C300 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95821-2664
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    Country              |    US
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    Telephone            |    916-971-1159
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    Fax                  |    888-300-1156
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. FRANCINE  FARRELL 
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    Credential           |    LMFT
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    Telephone            |    916-971-1159
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) 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        |    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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