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General NPI Number Information
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NPI Number | 1538048806
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Entity Type | Organization
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Legal Business Name | BAY VALLEY MARRIAGE & FAMILY COUNSELING GROUP, INC.
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Dates
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Enumeration Date | 08/29/2025
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 461 ROYAL OAKS DR
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City | VACAVILLE
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State | CA
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Zip | 95687-5021
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Country | US
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Telephone | 530-341-3303
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Fax |
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Provider Business Mailing Address
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Address Line | 607 ELMIRA RD PMB # 360
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City | VACAVILLE
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State | CA
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Zip | 95687-4655
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Country | US
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Telephone | 530-341-3303
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | MR. AUSTIN BOWEN
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Credential | MA,MBA,MFT,PPSC
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Telephone | 530-341-3303
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | 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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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Taxonomy #6
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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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