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General NPI Number Information
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NPI Number | 1497051205
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Entity Type | Individual
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Provider Name | VICTORIA SHUTS LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/27/2011
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 3009 HUBBARD LN
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City | EUREKA
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State | CA
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Zip | 95501-4800
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Country | US
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Telephone | 707-267-5372
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Fax |
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Provider Business Mailing Address
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Address Line | 4271 LIBERTY BELL CT
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City | EUREKA
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State | CA
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Zip | 95503-8912
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Country | US
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Telephone | 707-267-5372
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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 | MFTI64899
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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