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General NPI Number Information
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NPI Number | 1821720434
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Entity Type | Organization
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Legal Business Name | NORTH COAST PSYCHOTHERAPY CENTER FOR ANXIETY AND OCD, INC.
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Dates
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Enumeration Date | 06/30/2022
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Last Update Date | 06/30/2022
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Provider Practice Location Address
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Address Line | 1660 CENTRAL AVE STE F
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4378
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Country | US
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Telephone | 949-400-5069
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Fax |
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Provider Business Mailing Address
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Address Line | 1660 CENTRAL AVE STE F
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City | MCKINLEYVILLE
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State | CA
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Zip | 95519-4378
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Country | US
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Telephone | 949-400-5069
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. SARAH CATHERINE HAAG
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Credential | PH.D.
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Telephone | 949-400-5069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State |
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