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General NPI Number Information
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NPI Number | 1790551877
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Entity Type | Organization
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Legal Business Name | SWEETA KHOSRAWI, LICENSED PROFESSIONAL CLINICAL COUNSELOR, PC
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Dates
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Enumeration Date | 11/29/2023
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 3150 18TH ST STE 350M202
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City | SAN FRANCISCO
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State | CA
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Zip | 94110-2074
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Country | US
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Telephone | 209-237-9721
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Fax |
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Provider Business Mailing Address
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Address Line | 13700 PERIDOT ST
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City | LATHROP
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State | CA
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Zip | 95330-9169
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Country | US
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Telephone | 209-237-9721
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Fax |
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Authorized Official
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Title or Position | CEO/OWNER
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Name | SWEETA KHOSRAWI
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Credential | LPCC
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Telephone | 209-237-9721
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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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