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General NPI Number Information
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NPI Number | 1770082547
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Entity Type | Individual
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Provider Name | DONNA CHRISTIANSON
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Gender | Female
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 10/27/2021
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Provider Practice Location Address
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Address Line | 223 PEBBLECREEK CT
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City | MARTINEZ
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State | CA
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Zip | 94553-6808
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Country | US
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Telephone | 925-338-1556
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Fax |
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Provider Business Mailing Address
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Address Line | 1155 ARNOLD DR STE C BOX 148
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City | MARTINEZ
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State | CA
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Zip | 94553-6536
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Country | US
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Telephone | 925-338-1556
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT128453
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License Number State | CA
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