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General NPI Number Information
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NPI Number | 1952853293
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Entity Type | Individual
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Provider Name | RENEE BOND LPCC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2016
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 2620 J ST STE 1
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City | SACRAMENTO
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State | CA
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Zip | 95816-4381
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Country | US
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Telephone | 916-572-7623
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Fax |
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Provider Business Mailing Address
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Address Line | 7023 MAITA CIR
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City | SACRAMENTO
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State | CA
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Zip | 95820-2113
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Country | US
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Telephone | 916-572-7623
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPCC471
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License Number State | CA
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