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General NPI Number Information
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NPI Number | 1497134787
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Entity Type | Organization
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Legal Business Name | CAPITAL COUNSELING CENTER
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Dates
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Enumeration Date | 05/20/2015
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Last Update Date | 05/20/2015
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Provider Practice Location Address
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Address Line | 9500 MICRON AVE STE 132
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City | SACRAMENTO
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State | CA
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Zip | 95827-2619
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Country | US
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Telephone | 916-856-5699
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Fax |
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Provider Business Mailing Address
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Address Line | 9470 MICRON AVE
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City | SACRAMENTO
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State | CA
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Zip | 95827-2612
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Country | US
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Telephone | 916-856-5699
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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 | KAREN S BATT
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Credential | LMFT
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Telephone | 916-856-5699
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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 | LMFT84125
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License Number State | CA
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