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General NPI Number Information
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NPI Number | 1669702221
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Entity Type | Individual
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Provider Name | KRISTINA AILEEN SCHLOSSER ACSW, MHRS, MSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2010
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Last Update Date | 02/02/2024
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Provider Practice Location Address
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Address Line | 3371 PARKER HILL RD
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City | SANTA ROSA
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State | CA
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Zip | 95404-1732
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Country | US
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Telephone | 707-535-0289
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Fax |
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Provider Business Mailing Address
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Address Line | 1821 ALBANY DR
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City | SANTA ROSA
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State | CA
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Zip | 95401-3604
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Country | US
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Telephone | 707-477-9321
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 98692
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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