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General NPI Number Information
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NPI Number | 1578122776
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Entity Type | Organization
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Legal Business Name | TIOWISHONIA COUNSELING SERVICES
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 2740 FULTON AVE STE 118
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City | SACRAMENTO
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State | CA
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Zip | 95821-5184
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Country | US
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Telephone | 916-480-1226
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Fax |
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Provider Business Mailing Address
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Address Line | 2740 FULTON AVE STE 118
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City | SACRAMENTO
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State | CA
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Zip | 95821-5184
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Country | US
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Telephone | 916-480-1226
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALAN DEAN HILL
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Credential | LMFT
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Telephone | 916-480-1226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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