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General NPI Number Information
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NPI Number | 1992940084
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Entity Type | Organization
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Legal Business Name | GUY STUFF COUNSELING & COACHING, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 12/03/2008
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 2530 DOUGLAS BLVD STE 160
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City | ROSEVILLE
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State | CA
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Zip | 95661-3991
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Country | US
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Telephone | 800-764-8524
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Fax |
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Provider Business Mailing Address
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Address Line | 11230 GOLD EXPRESS DR # 310-174
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City | GOLD RIVER
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State | CA
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Zip | 95670-4484
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Country | US
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Telephone | 800-764-8524
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | KURT SMITH
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Credential | LMFT, LPCC, AFC
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Telephone | 800-764-8524
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | MFC44097
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License Number State | CA
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