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General NPI Number Information
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NPI Number | 1780852418
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Entity Type | Organization
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Legal Business Name | CONTRA COSTA COUNTY
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Dates
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Enumeration Date | 02/15/2008
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Last Update Date | 02/15/2008
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Provider Practice Location Address
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Address Line | 1000 WARD ST
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City | MARTINEZ
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State | CA
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Zip | 94553-1360
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Country | US
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Telephone | 925-335-4740
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Fax |
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Provider Business Mailing Address
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Address Line | 1000 WARD ST
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City | MARTINEZ
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State | CA
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Zip | 94553-1360
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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 | MENTAL HEALTH CLINICIAN
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Name | DR. JERRI CURRY
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Credential | PH.D. MFT
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Telephone | 925-335-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | MFT19776
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License Number State | CA
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