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NPI 1962291484

NPI 1962291484 : NEW PURPOSE REENTRY PROGRAM, INC. (NPRP, INC.) : STOCKTON, CA

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General NPI Number Information
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    NPI Number           |    1962291484
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    Entity Type          |    Organization 
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    Legal Business Name  |    NEW PURPOSE REENTRY PROGRAM, INC. (NPRP, INC.) 
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Dates
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    Enumeration Date     |    05/01/2025
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    Last Update Date     |    05/01/2025
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Provider Practice Location Address
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    Address Line         |    3241 SHERIDAN WAY 
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    City                 |    STOCKTON
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    State                |    CA
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    Zip                  |    95219-3726
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    Country              |    US
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    Telephone            |    209-329-1014
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    Fax                  |    209-476-1834
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Provider Business Mailing Address
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    Address Line         |    3241 SHERIDAN WAY 
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    City                 |    STOCKTON
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    State                |    CA
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    Zip                  |    95219-3726
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    Country              |    US
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    Telephone            |    209-329-1014
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    Fax                  |    209-476-1834
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Authorized Official
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    Title or Position    |    COO
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    Name                 |    MRS. JEHNELL  LIVINGSTON-TURNER 
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    Credential           |    
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    Telephone            |    209-329-1014
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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       |    
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    License Number State |    
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Taxonomy #2
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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 #3
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    Taxonomy Code        |    171M00000X
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    Taxonomy Name        |    Case Manager/Care Coordinator
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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        |    251B00000X
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    Taxonomy Name        |    Case Management Agency
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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        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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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        |    225C00000X
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    Taxonomy Name        |    Rehabilitation Counselor
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    License Number       |    
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    License Number State |    
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