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NPI 1811754476

NPI 1811754476 : NATHANIEL SILVEIRA-PYZIK LICENSED PROFESSIONAL CLINICAL COUNSELOR PC : SAN CARLOS, CA

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General NPI Number Information
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    NPI Number           |    1811754476
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATHANIEL SILVEIRA-PYZIK LICENSED PROFESSIONAL CLINICAL COUNSELOR PC 
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Dates
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    Enumeration Date     |    02/29/2024
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    Last Update Date     |    01/02/2025
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Provider Practice Location Address
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    Address Line         |    1350 CHERRY ST STE 4 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070-3008
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    Country              |    US
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    Telephone            |    650-762-8741
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    Fax                  |    650-683-6613
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Provider Business Mailing Address
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    Address Line         |    1350 CHERRY ST STE 4 
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    City                 |    SAN CARLOS
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    State                |    CA
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    Zip                  |    94070-3008
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    Country              |    US
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    Telephone            |    650-762-8741
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    Fax                  |    650-683-6613
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Authorized Official
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    Title or Position    |    THERAPIST
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    Name                 |    MR. NATHANIEL GABRIEL SILVEIRA-PYZIK 
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    Credential           |    LPCC
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    Telephone            |    650-762-8741
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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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