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General NPI Number Information
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NPI Number | 1952566515
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Entity Type | Individual
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Provider Name | SONYA CHAVEZ SERNA LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/23/2008
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Last Update Date | 07/09/2021
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Provider Practice Location Address
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Address Line | 924 N YOSEMITE ST
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City | STOCKTON
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State | CA
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Zip | 95203-2217
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Country | US
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Telephone | 209-600-1531
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Fax | 209-475-8090
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Provider Business Mailing Address
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Address Line | 924 N YOSEMITE ST
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City | STOCKTON
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State | CA
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Zip | 95203-2217
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Country | US
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Telephone | 209-600-1531
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Fax | 209-475-8090
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 53587
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License Number State | CA
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