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NPI 1396940912

NPI 1396940912 : MS. CYNTHIA LYNN PARSONS : ROSEVILLE, CA

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General NPI Number Information
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    NPI Number           |    1396940912
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    Entity Type          |    Individual 
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    Provider Name        |    MS. CYNTHIA LYNN PARSONS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/15/2007
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    Last Update Date     |    03/04/2025
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Provider Practice Location Address
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    Address Line         |    1133 COLOMA WAY STE C 
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    City                 |    ROSEVILLE
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    State                |    CA
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    Zip                  |    95661-4480
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    Country              |    US
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    Telephone            |    916-774-6647
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    Fax                  |    916-774-6456
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Provider Business Mailing Address
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    Address Line         |    PO BOX 402 
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    City                 |    FORESTHILL
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    State                |    CA
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    Zip                  |    95631-0402
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    Country              |    US
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    Telephone            |    530-367-4381
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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        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    A018410415
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    RIP0607181610
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    License Number State |    CA
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