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General NPI Number Information
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NPI Number | 1831621861
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Entity Type | Individual
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Provider Name | TRESSA STILES PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 03/29/2017
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Last Update Date | 01/10/2022
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Provider Practice Location Address
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Address Line | 1 QUALITY DR
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City | VACAVILLE
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State | CA
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Zip | 95688-9494
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Country | US
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Telephone | 707-624-2830
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Fax |
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Provider Business Mailing Address
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Address Line | 2201 ARENA BLVD APT 4305
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City | SACRAMENTO
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State | CA
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Zip | 95834-7931
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Country | US
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Telephone | 707-624-2507
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 28656
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License Number State | CA
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