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General NPI Number Information
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NPI Number | 1861026163
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Entity Type | Organization
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Legal Business Name | BRIDGING CONNECTIONS FAMILY COUNSELING INC
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Dates
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Enumeration Date | 02/25/2020
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Last Update Date | 11/29/2023
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Provider Practice Location Address
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Address Line | 419 ELIZABETH ST STE 4
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City | VACAVILLE
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State | CA
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Zip | 95688-4602
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Country | US
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Telephone | 707-761-1153
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Fax | 707-334-2155
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Provider Business Mailing Address
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Address Line | 172 SILVER EAGLE WAY
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City | VACAVILLE
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State | CA
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Zip | 95688-1012
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Country | US
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Telephone | 707-761-1153
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Fax | 707-334-2155
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Authorized Official
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Title or Position | OWNER
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Name | CAROL S ANDREWS
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Credential | MFT
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Telephone | 707-761-1153
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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