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General NPI Number Information
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NPI Number | 1376831354
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Entity Type | Organization
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Legal Business Name | CASCADE COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 07/12/2011
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Last Update Date | 07/12/2011
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Provider Practice Location Address
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Address Line | 1648 RIVERSIDE DR
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City | REDDING
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State | CA
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Zip | 96001-0533
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Country | US
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Telephone | 530-605-5732
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Fax |
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Provider Business Mailing Address
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Address Line | 1648 RIVERSIDE DR
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City | REDDING
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State | CA
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Zip | 96001-0533
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Country | US
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Telephone | 530-605-5732
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | KARIN LYNN PARRILLA-ANDERSON
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Credential | MFT
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Telephone | 530-605-5732
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC45398
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License Number State | CA
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