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General NPI Number Information
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NPI Number | 1902830235
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Entity Type | Organization
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Legal Business Name | SAMARITAN COUNSELING CENTER OF GREATER SACRAMENTO
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Dates
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Enumeration Date | 07/11/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3701 J ST STE 207
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City | SACRAMENTO
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State | CA
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Zip | 95816-5542
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Country | US
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Telephone | 916-456-4614
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Fax | 916-456-4624
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Provider Business Mailing Address
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Address Line | 3701 J ST STE 207
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City | SACRAMENTO
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State | CA
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Zip | 95816-5542
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Country | US
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Telephone | 916-456-4614
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Fax | 916-456-4624
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. DEBRA J. TRIPP
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Credential | LMFT
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Telephone | 916-456-4614
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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 | MFC37882
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC27154
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC11904
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW19614
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License Number State | CA
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