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General NPI Number Information
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NPI Number | 1972174274
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Entity Type | Organization
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Legal Business Name | RENE NEVAREZ LICENSED FAMILY THERAPIST AND CLINICAL COUNSELOR
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Dates
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Enumeration Date | 07/07/2021
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Last Update Date | 08/31/2022
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Provider Practice Location Address
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Address Line | 8950 CAL CENTER DR STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95826-3247
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Country | US
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Telephone | 916-738-1504
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Fax | 916-200-3191
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Provider Business Mailing Address
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Address Line | 8950 CAL CENTER DR STE 120
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City | SACRAMENTO
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State | CA
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Zip | 95826-3247
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Country | US
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Telephone | 916-784-4593
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RENE NEVAREZ
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Credential |
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Telephone | 925-784-4593
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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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