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General NPI Number Information
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NPI Number | 1851749105
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Entity Type | Individual
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Provider Name | SIGLIA JESSICA GONZALEZ
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Gender | Female
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Dates
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Enumeration Date | 05/26/2016
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 2621 OSWELL ST
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City | BAKERSFIELD
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State | CA
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Zip | 93306-3172
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Country | US
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Telephone | 661-868-1768
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1000
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City | BAKERSFIELD
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State | CA
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Zip | 93302-1000
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Country | US
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Telephone | 661-868-6601
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Fax | 661-868-6666
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 115863
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 115863
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License Number State | CA
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