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General NPI Number Information
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NPI Number | 1548086085
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Entity Type | Organization
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Legal Business Name | KESAV HEALTH AND WELLNESS LICENSED CLINICAL SOCIAL WORKER PC
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 12/08/2025
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Provider Practice Location Address
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Address Line | 1007 LIVE OAK BLVD STE B-1
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City | YUBA CITY
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State | CA
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Zip | 95991-3454
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Country | US
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Telephone | 530-633-7734
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Fax |
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Provider Business Mailing Address
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Address Line | 1007 LIVE OAK BLVD STE B-1
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City | YUBA CITY
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State | CA
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Zip | 95991-3454
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Country | US
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Telephone | 530-713-8845
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Fax |
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Authorized Official
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Title or Position | LMFT
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Name | SABITA KONDLE
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Credential |
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Telephone | 530-713-9829
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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