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General NPI Number Information
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NPI Number | 1609546795
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Entity Type | Organization
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Legal Business Name | RENEE ANN WILLIAMS A MARRIAGE AND FAMILY THERAPY PROFESSIONAL CORP
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Dates
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Enumeration Date | 09/20/2021
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 1544 EUREKA RD STE 280
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City | ROSEVILLE
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State | CA
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Zip | 95661-3093
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Country | US
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Telephone | 916-865-6833
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Fax |
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Provider Business Mailing Address
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Address Line | 1119 S MISSION RD # 345
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City | FALLBROOK
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State | CA
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Zip | 92028-3225
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Country | US
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Telephone | 916-865-6833
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RENEE ANN WILLIAMS
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Credential | LMFT, LPCC
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Telephone | 916-865-6833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 102L00000X
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Taxonomy Name | Psychoanalyst
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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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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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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