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NPI 1730093832

NPI 1730093832 : TRINITY OAKS BEHAVIORAL HEALTH : BAKERSFIELD, CA

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General NPI Number Information
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    NPI Number           |    1730093832
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    Entity Type          |    Organization 
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    Legal Business Name  |    TRINITY OAKS BEHAVIORAL HEALTH 
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Dates
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    Enumeration Date     |    09/28/2026
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    Last Update Date     |    09/28/2026
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Provider Practice Location Address
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    Address Line         |    10611 FISHERS PEAK DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-6341
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    Country              |    US
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    Telephone            |    661-677-3700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10611 FISHERS PEAK DR 
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    City                 |    BAKERSFIELD
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    State                |    CA
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    Zip                  |    93312-6341
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    Country              |    US
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    Telephone            |    661-677-3700
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |     MARISSA  ALVIDREZ 
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    Credential           |    MSW, LCSW
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    Telephone            |    661-677-3700
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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       |    
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    License Number State |    NULL
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