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General NPI Number Information
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NPI Number | 1487120374
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Entity Type | Organization
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Legal Business Name | HORIZON FAMILY AND COMMUNITY SERVICES
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 07/25/2024
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Provider Practice Location Address
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Address Line | 3960 INDUSTRIAL BLVD STE 600
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-3496
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Country | US
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Telephone | 916-752-8965
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 507
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City | WEST SACRAMENTO
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State | CA
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Zip | 95691-0507
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JALENA RUSAW
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Credential | LMFT
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Telephone | 916-416-7287
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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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