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General NPI Number Information
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NPI Number | 1679005862
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Entity Type | Organization
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Legal Business Name | NUGENT FAMILY COUNSELING CENTER INC
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Dates
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Enumeration Date | 03/28/2017
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Last Update Date | 05/24/2025
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Provider Practice Location Address
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Address Line | 950 S BASCOM AVE STE 2010
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City | SAN JOSE
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State | CA
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Zip | 95128-3538
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Country | US
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Telephone | 408-341-9222
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Fax |
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Provider Business Mailing Address
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Address Line | 950 S BASCOM AVE SUITE 2005
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City | SAN JOSE
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State | CA
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Zip | 95128-3536
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Country | US
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Telephone | 408-341-9222
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. GEOFF JULIAN NUGENT
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Credential | PH.D, LMFT, LPCC
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Telephone | 408-341-9222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 47549
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License Number State | CA
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