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General NPI Number Information
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NPI Number | 1780496042
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Entity Type | Organization
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Legal Business Name | BRILLA COUNSELING SERVICES CORP.
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Dates
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Enumeration Date | 01/23/2025
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Last Update Date | 11/21/2025
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Provider Practice Location Address
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Address Line | 924 57TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3328
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Country | US
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Telephone | 415-322-0520
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Fax |
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Provider Business Mailing Address
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Address Line | 924 57TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95819-3328
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Country | US
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Telephone | 916-287-8876
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Fax | 916-287-8876
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Authorized Official
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Title or Position | OWNER AND CLINICAL DIRECTOR
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Name | LAUREN DIBBLE
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Credential | MA, LMFT 123427
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Telephone | 916-287-8876
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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