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General NPI Number Information
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NPI Number | 1598423287
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Entity Type | Organization
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Legal Business Name | MENTAL HEALTH AND RECOVERY COUNSELING EDUCATION AND TRAINING
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Dates
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Enumeration Date | 11/30/2021
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Last Update Date | 11/30/2021
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Provider Practice Location Address
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Address Line | 101 TOWN SQUARE RD # 352
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City | COPPEROPOLIS
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State | CA
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Zip | 95228-9289
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Country | US
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Telephone | 833-464-7238
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Fax | 833-564-7238
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Provider Business Mailing Address
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Address Line | PO BOX 352
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City | COPPEROPOLIS
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State | CA
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Zip | 95228-0352
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Country | US
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Telephone | 833-464-7238
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Fax | 833-564-7238
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Authorized Official
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Title or Position | PRESIDENT & CEO
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Name | DEVON TOONEN
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Credential |
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Telephone | 916-273-9900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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