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General NPI Number Information
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NPI Number | 1801938600
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Entity Type | Individual
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Provider Name | LAURA BETH WERNER LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/12/2007
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Last Update Date | 12/18/2015
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Provider Practice Location Address
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Address Line | 206 PROVIDENCE MINE ROAD SUITE 215
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City | NEVADA CITY
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State | CA
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Zip | 95959-2956
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Country | US
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Telephone | 503-274-1430
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1626
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City | GRASS VALLEY
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State | CA
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Zip | 95945
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Country | US
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Telephone | 530-274-1430
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | LB 10288
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW LB 10288
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License Number State | CA
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