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General NPI Number Information
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NPI Number | 1871819235
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Entity Type | Organization
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Legal Business Name | RECOVERY HAPPENS COUNSELING SERVICES
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Dates
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Enumeration Date | 04/10/2010
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Last Update Date | 04/10/2010
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Provider Practice Location Address
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Address Line | 7996 OLD WINDING WAY STE 300
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City | FAIR OAKS
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State | CA
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Zip | 95628-7159
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Country | US
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Telephone | 916-276-0626
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Fax | 916-966-4599
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Provider Business Mailing Address
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Address Line | 7996 OLD WINDING WAY STE 300
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City | FAIR OAKS
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State | CA
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Zip | 95628-7159
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Country | US
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Telephone | 916-276-0626
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Fax | 916-966-4599
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | MR. JON JAY DAILY
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Credential | LCSW, CADC II
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Telephone | 916-276-0626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LCS20952
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License Number State | CA
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