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General NPI Number Information
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NPI Number | 1447135587
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Entity Type | Organization
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Legal Business Name | COURAGEOUS COUNSELING CENTER
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 21 TAMAL VISTA BLVD STE 205
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City | CORTE MADERA
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State | CA
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Zip | 94925-1147
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Country | US
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Telephone | 415-212-6478
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Fax |
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Provider Business Mailing Address
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Address Line | 21 TAMAL VISTA BLVD STE 205
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City | CORTE MADERA
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State | CA
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Zip | 94925-1147
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Country | US
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Telephone | 415-212-6478
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | DAVIDA TAUREK
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Credential | LPCC
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Telephone | 415-212-6478
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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