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General NPI Number Information
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NPI Number | 1629494521
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Entity Type | Individual
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Provider Name | DEBRA JILL HOUSTON LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2014
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Last Update Date | 03/16/2017
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Provider Practice Location Address
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Address Line | 3121 PARK AVE SUITE K
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City | SOQUEL
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State | CA
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Zip | 95073
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Country | US
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Telephone | 831-588-9540
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Fax | 831-425-3341
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Provider Business Mailing Address
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Address Line | 1663 DOMINICAN WAY SUITE 214
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City | SANTA CRUZ
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State | CA
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Zip | 95065
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Country | US
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Telephone | 831-464-5800
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Fax | 831-462-5800
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC36810
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License Number State | CA
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