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NPI 1972879690

NPI 1972879690 : SONYA WASHINGTON LMFT : PLEASANTON, CA

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General NPI Number Information
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    NPI Number           |    1972879690
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    Entity Type          |    Individual 
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    Provider Name        |    SONYA WASHINGTON LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/27/2012
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    Last Update Date     |    11/21/2022
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Provider Practice Location Address
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    Address Line         |    5674 STONERIDGE DR STE 207 
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    City                 |    PLEASANTON
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    State                |    CA
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    Zip                  |    94588-8592
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    Country              |    US
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    Telephone            |    925-520-0005
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    378 VAN BUREN AVE APT 205 
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    City                 |    OAKLAND
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    State                |    CA
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    Zip                  |    94610-4859
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    Country              |    US
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    Telephone            |    510-517-2989
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    113918
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    License Number State |    CA
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