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General NPI Number Information
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NPI Number | 1821137381
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Entity Type | Organization
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Legal Business Name | EARTH CIRCLES COUNSELING CENTER
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 10/18/2016
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Provider Practice Location Address
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Address Line | 166 SANTA CLARA AVE SUITE 205
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City | OAKLAND
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State | CA
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Zip | 94610-1323
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Country | US
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Telephone | 510-601-1929
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Fax | 510-601-1947
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Provider Business Mailing Address
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Address Line | 166 SANTA CLARA AVE STE 205
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City | OAKLAND
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State | CA
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Zip | 94610-1323
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Country | US
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Telephone | 510-601-1929
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Fax | 510-601-1947
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. YVONNE ANTOINETTE BEYER
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Credential | LMFT
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Telephone | 510-601-0132
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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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