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General NPI Number Information
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NPI Number | 1760319016
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Entity Type | Organization
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Legal Business Name | PAVONE FAMILY THERAPY, INC
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Dates
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Enumeration Date | 05/08/2026
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Last Update Date | 05/08/2026
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Provider Practice Location Address
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Address Line | 1179 BELTLINE RD
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City | REDDING
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State | CA
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Zip | 96003-1955
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Country | US
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Telephone | 530-638-3559
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Fax |
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Provider Business Mailing Address
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Address Line | 215 LAKE BLVD # 664
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City | REDDING
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State | CA
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Zip | 96003-2506
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Country | US
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Telephone | 530-638-3559
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DANIELLA C PAVONE
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Credential | M.A., LMFT, LPCC
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Telephone | 530-638-3559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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