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General NPI Number Information
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NPI Number | 1811198773
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Entity Type | Organization
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Legal Business Name | YWCA OF CONTRA COSTA COUNTY & SACRAMENTO
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 931 CAVALLO RD
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City | ANTIOCH
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State | CA
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Zip | 94509-1971
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Country | US
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Telephone | 925-778-6234
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Fax | 925-372-4216
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Provider Business Mailing Address
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Address Line | 1320 ARNOLD DR SUITE
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City | MARTINEZ
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State | CA
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Zip | 94553-6537
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Country | US
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Telephone | 925-372-4213
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Fax | 925-372-4216
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Authorized Official
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Title or Position | CEO
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Name | MS. NANCY J ATKINSON
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Credential | MFT
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Telephone | 925-372-4213
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | CA
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