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General NPI Number Information
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NPI Number | 1740036094
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Entity Type | Organization
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Legal Business Name | EVOLUER COUNSELING SERVICES, A LICENSED CLINICAL SOCIAL WORKER CORPORA
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Dates
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Enumeration Date | 04/27/2024
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Last Update Date | 04/27/2024
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Provider Practice Location Address
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Address Line | 601 UNIVERSITY AVE STE 140
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City | SACRAMENTO
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State | CA
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Zip | 95825-6706
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Country | US
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Telephone | 916-234-3101
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Fax |
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Provider Business Mailing Address
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Address Line | 601 UNIVERSITY AVE STE 140
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City | SACRAMENTO
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State | CA
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Zip | 95825-6706
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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 | CEO
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Name | HEATHER BROWN
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Credential | LCSW
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Telephone | 916-234-3101
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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 |
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