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General NPI Number Information
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NPI Number | 1699804229
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Entity Type | Individual
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Provider Name | CATHERINE CICOTTE R.N., M.F.T.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 610 D ST SUITE D
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City | SAN RAFAEL
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State | CA
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Zip | 94901-3708
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Country | US
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Telephone | 415-456-4565
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2924
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City | SAUSALITO
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State | CA
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Zip | 94966-2924
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Country | US
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Telephone | 415-456-4565
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC41890
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | RN310665
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License Number State | CA
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