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General NPI Number Information
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NPI Number | 1386883494
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Entity Type | Individual
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Provider Name | ANGELA MICHELE TRATHEN LMFT #90483
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Gender | Female
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Dates
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Enumeration Date | 02/12/2009
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Last Update Date | 07/16/2025
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Provider Practice Location Address
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Address Line | 825 ZION ST
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City | NEVADA CITY
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State | CA
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Zip | 95959-2922
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Country | US
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Telephone | 530-263-0626
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Fax |
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Provider Business Mailing Address
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Address Line | 13258 ALLISON RANCH RD
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City | GRASS VALLEY
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State | CA
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Zip | 95945
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Country | US
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Telephone | 530-263-0626
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 |
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License Number State |
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