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General NPI Number Information
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NPI Number | 1760688345
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Entity Type | Individual
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Provider Name | YVETTE LANAUSSE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/21/2007
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Last Update Date | 06/14/2023
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Provider Practice Location Address
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Address Line | 1000 G ST STE 125
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City | SACRAMENTO
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State | CA
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Zip | 95814-0894
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Country | US
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Telephone | 510-345-4379
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Fax |
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Provider Business Mailing Address
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Address Line | 7543 DELTAWIND DR
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City | SACRAMENTO
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State | CA
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Zip | 95831-5207
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Country | US
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Telephone | 916-710-1692
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LCS23031
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LCSW23031
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License Number State | CA
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