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General NPI Number Information
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NPI Number | 1770387540
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Entity Type | Organization
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Legal Business Name | THE REDWOOD CENTER FOR CHILDREN AND FAMILIES
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Dates
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Enumeration Date | 04/02/2025
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 6060 GRAHAM HILL RD
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City | FELTON
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State | CA
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Zip | 95018-9764
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Country | US
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Telephone | 831-219-8324
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Fax |
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Provider Business Mailing Address
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Address Line | 7720 W ZAYANTE RD
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City | FELTON
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State | CA
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Zip | 95018-9440
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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 | CLINICAL DIRECTOR
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Name | JENNIFER SIMS
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Credential | LPCC, RPT
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Telephone | 831-252-3252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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