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General NPI Number Information
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NPI Number | 1447264700
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Entity Type | Organization
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Legal Business Name | COUNSELING AND EDUCATION SERVICES, DIRECTIONS INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2130 PROFESSIONAL DR SUITE 220
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City | ROSEVILLE
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State | CA
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Zip | 95661-3738
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Country | US
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Telephone | 916-782-2353
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Fax | 916-783-2676
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Provider Business Mailing Address
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Address Line | 2130 PROFESSIONAL DR SUITE 220
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City | ROSEVILLE
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State | CA
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Zip | 95661-3738
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Country | US
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Telephone | 916-782-2353
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Fax | 916-783-2676
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Authorized Official
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Title or Position | DIRECTOR OF COUNSELING
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Name | MRS. LAURA FAUDREE
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Credential | MA, MFT
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Telephone | 916-782-2353
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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 | MFC 36616
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License Number State | CA
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