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General NPI Number Information
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NPI Number | 1639851538
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Entity Type | Individual
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Provider Name | ROBERT GARRISON AMFT #154029
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Gender | Male
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Dates
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Enumeration Date | 08/01/2023
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Last Update Date | 04/29/2025
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Provider Practice Location Address
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Address Line | 1272 HAYES ST
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City | NAPA
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State | CA
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Zip | 94559-1711
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Country | US
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Telephone | 707-255-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 1272 HAYES ST
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City | NAPA
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State | CA
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Zip | 94559-1711
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Country | US
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Telephone | 707-512-5414
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Fax |
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 154029
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License Number State | CA
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