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General NPI Number Information
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NPI Number | 1710770045
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Entity Type | Organization
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Legal Business Name | NARRA PSYCHOTHERAPY LICENSED PROFESSIONAL CLINICAL COUNSELOR, INC.
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 2108 N ST STE C
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 949-407-9491
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Fax |
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Provider Business Mailing Address
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Address Line | 2712 LOKER AVE W # 1160
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City | CARLSBAD
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State | CA
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Zip | 92010-6603
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | MICHELLE MARIEL LOPEZ CLARK
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Credential |
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Telephone | 949-407-9491
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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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