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General NPI Number Information
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NPI Number | 1730049792
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Entity Type | Organization
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Legal Business Name | ROXANNE DAVIS PRATT LICENSED PROFESSIONAL CLINICAL COUNSELOR, P.C.
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Dates
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Enumeration Date | 11/13/2025
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Last Update Date | 11/13/2025
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Provider Practice Location Address
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Address Line | 701 PALOMAR AIRPORT RD STE 300
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City | CARLSBAD
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State | CA
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Zip | 92011-1028
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Country | US
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Telephone | 858-353-3499
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Fax |
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Provider Business Mailing Address
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Address Line | 701 PALOMAR AIRPORT RD STE 300
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City | CARLSBAD
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State | CA
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Zip | 92011-1028
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Country | US
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Telephone | 858-353-3499
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ROXANNE DAVIS PRATT
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Credential | LPCC, MS, MPH
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Telephone | 858-353-3499
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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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