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General NPI Number Information
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NPI Number | 1922435775
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Entity Type | Organization
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Legal Business Name | SUNSET COUNSELING CENTER, INC.
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Dates
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Enumeration Date | 10/10/2013
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Last Update Date | 07/06/2015
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Provider Practice Location Address
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Address Line | 6520 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-878-1900
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Fax | 855-850-8163
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Provider Business Mailing Address
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Address Line | 6520 LONETREE BLVD
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City | ROCKLIN
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State | CA
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Zip | 95765-5874
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Country | US
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Telephone | 916-878-1900
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Fax | 855-850-8163
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | AMY GREEN
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Credential | MFT
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Telephone | 916-878-1900
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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 | 49114
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License Number State | CA
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