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General NPI Number Information
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NPI Number | 1568293686
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Entity Type | Organization
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Legal Business Name | RENEE BOND LICENSED PROFESSIONAL CLINICAL COUNSELOR PC STAY MINDFUL
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Dates
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Enumeration Date | 08/10/2024
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Last Update Date | 08/10/2024
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Provider Practice Location Address
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Address Line | 2620 J STREET FIRST FLOOR
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City | SACRAMENTO
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State | CA
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Zip | 95816
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Country | US
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Telephone | 916-572-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 7023 MAITA CIR
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City | SACRAMENTO
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State | CA
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Zip | 95820-2113
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Country | US
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Telephone | 916-572-7623
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RENEE BOND
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Credential | LPCC
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Telephone | 916-572-7623
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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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