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General NPI Number Information
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NPI Number | 1861865875
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Entity Type | Organization
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Legal Business Name | INTUNE FAMILY COUNSELING, INC.
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Dates
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Enumeration Date | 11/12/2015
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 2455 BENNETT VALLEY RD STE B201
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City | SANTA ROSA
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State | CA
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Zip | 95404-5667
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Country | US
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Telephone | 707-520-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 2455 BENNETT VALLEY RD STE C210
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City | SANTA ROSA
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State | CA
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Zip | 95404-5671
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Country | US
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Telephone | 707-520-4357
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | URIAH DOHN GUILFORD
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Credential | LMFT
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Telephone | 707-520-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LMFT45864
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License Number State | CA
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