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General NPI Number Information
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NPI Number | 1780521575
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Entity Type | Organization
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Legal Business Name | DEVELOPING ORGANIZING VISIONS FOR EVERYONE
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1638 FAIRGROUNDS DR STE D
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City | VALLEJO
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State | CA
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Zip | 94589-2076
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Country | US
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Telephone | 510-910-2675
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 NAPA ST UNIT 1174
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City | VALLEJO
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State | CA
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Zip | 94590-5653
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Country | US
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Telephone | 510-910-2675
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CAMERON DEWITT CLARK
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Credential | CCAPP
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Telephone | 510-910-2675
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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