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General NPI Number Information
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NPI Number | 1992666804
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Entity Type | Organization
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Legal Business Name | SOUL CRAFT INDIVIDUAL AND MARRIAGE COUNSELING INC
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Dates
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Enumeration Date | 11/20/2025
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Last Update Date | 11/20/2025
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Provider Practice Location Address
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Address Line | 194 GOLD FLAT RD
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City | NEVADA CITY
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State | CA
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Zip | 95959-3237
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Country | US
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Telephone | 530-362-4163
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 3512
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City | GRASS VALLEY
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State | CA
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Zip | 95945-3512
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Country | US
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Telephone | 530-362-4163
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. CANDICE CRAFT
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Credential | LMFT
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Telephone | 530-362-4163
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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 |
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License Number State |
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