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General NPI Number Information
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NPI Number | 1518506195
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Entity Type | Individual
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Provider Name | CARLIN SUNDELL LPCC
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Gender | Male
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 888 LINDEN AVE STE E
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City | CARPINTERIA
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State | CA
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Zip | 93013-2043
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Country | US
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Telephone | 805-325-3462
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Fax |
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Provider Business Mailing Address
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Address Line | 5387 8TH ST APT B
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City | CARPINTERIA
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State | CA
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Zip | 93013-2492
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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 |
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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 | 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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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17570
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License Number State | CA
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