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General NPI Number Information
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NPI Number | 1770301574
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Entity Type | Organization
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Legal Business Name | MORE MENTAL HEALTH COUNSELING
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 09/30/2024
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Provider Practice Location Address
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Address Line | 384 E OLIVE AVE STE 2
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City | TURLOCK
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State | CA
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Zip | 95380-4051
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Country | US
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Telephone | 209-505-2735
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Fax | 209-289-0038
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Provider Business Mailing Address
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Address Line | 916 FOXCROFT LN
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City | MODESTO
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State | CA
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Zip | 95355-4706
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Country | US
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Telephone | 209-505-2735
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SANDRA CENTENO MOORE
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Credential | LCSW
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Telephone | 209-505-2735
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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