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NPI 1912732447

NPI 1912732447 : SAFE SPACE COUNSELING - LICENSED PROFESSIONAL CLINICAL COUNSELORS AND : ELK GROVE, CA

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General NPI Number Information
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    NPI Number           |    1912732447
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    Entity Type          |    Organization 
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    Legal Business Name  |    SAFE SPACE COUNSELING - LICENSED PROFESSIONAL CLINICAL COUNSELORS AND 
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Dates
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    Enumeration Date     |    09/04/2024
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    Last Update Date     |    01/27/2026
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Provider Practice Location Address
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    Address Line         |    9370 STUDIO CT STE 100A 
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    City                 |    ELK GROVE
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    State                |    CA
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    Zip                  |    95758-8047
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    Country              |    US
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    Telephone            |    916-582-7453
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    Fax                  |    916-582-3842
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Provider Business Mailing Address
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    Address Line         |    9370 STUDIO CT STE 100A 
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    City                 |    ELK GROVE
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    State                |    CA
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    Zip                  |    95758-8047
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    Country              |    US
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    Telephone            |    916-582-7453
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    Fax                  |    916-582-3842
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Authorized Official
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    Title or Position    |    FOUNDER/CEO
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    Name                 |     NAVNEET  KAUR 
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    Credential           |    
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    Telephone            |    916-430-5057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    103TC1900X
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    Taxonomy Name        |    Counseling Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103TP0814X
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    Taxonomy Name        |    Psychoanalysis Psychologist
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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        |    103TC0700X
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    Taxonomy Name        |    Clinical Psychologist
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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        |    103TB0200X
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    Taxonomy Name        |    Cognitive & Behavioral Psychologist
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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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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Taxonomy #6
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    Taxonomy Code        |    101YM0800X
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    Taxonomy Name        |    Mental Health Counselor
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    License Number       |    
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    License Number State |    
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