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General NPI Number Information
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NPI Number | 1629562756
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Entity Type | Organization
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Legal Business Name | FAMILY & CHILDREN'S COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 06/21/2018
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Last Update Date | 07/24/2020
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Provider Practice Location Address
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Address Line | 561 E LINDO AVE STE B
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City | CHICO
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State | CA
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Zip | 95926-2266
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Country | US
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Telephone | 530-518-1406
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Fax |
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Provider Business Mailing Address
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Address Line | 561 E LINDO AVE STE B
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City | CHICO
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State | CA
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Zip | 95926-2266
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Country | US
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Telephone | 530-518-1406
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Fax |
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Authorized Official
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Title or Position | CEO/ DIRECTOR
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Name | MELINDA HAYNES
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Credential | LMFT
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Telephone | 530-518-1406
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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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