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General NPI Number Information
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NPI Number | 1801434824
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Entity Type | Organization
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Legal Business Name | THERAPY CENTERS OF DR. SUSAN LANDES, MFT, APC
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Dates
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Enumeration Date | 12/20/2019
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Last Update Date | 12/20/2019
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Provider Practice Location Address
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Address Line | 13620 LINCOLN WAY STE 380
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City | AUBURN
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State | CA
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Zip | 95603-3269
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Country | US
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Telephone | 530-888-0985
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Fax | 530-888-9805
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Provider Business Mailing Address
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Address Line | 13620 LINCOLN WAY STE 380
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City | AUBURN
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State | CA
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Zip | 95603-3269
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Country | US
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Telephone | 530-888-0985
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Fax | 530-888-9805
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Authorized Official
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Title or Position | CEO
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Name | DR. SUSAN GRACE LANDES
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Credential | PSYD, MFT
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Telephone | 530-888-9858
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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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