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Julie Rosin, LEFT, LMFT78612 10316 Placer Lane, Suite A, Sacramento, CA 95827 (408) 7187405ADULT INTAKE INFORMATION Date: How or by whom were you referred? Availability: Days of Week Times Client
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Trosin Julie MFTCommunity Providers is a regulatory form used by certain mental health service providers to report their qualifications and practice details to state authorities.
Mental health service providers who participate in certain community health programs or receive state funding are typically required to file the Trosin Julie MFTCommunity Providers form.
To fill out the Trosin Julie MFTCommunity Providers form, providers should follow the instructions provided with the form, ensuring all required fields are completed accurately, including personal information, qualifications, and services offered.
The purpose of the Trosin Julie MFTCommunity Providers form is to ensure that mental health service providers meet state regulations and standards, as well as to maintain oversight of service quality and provider qualifications.
Required information on the Trosin Julie MFTCommunity Providers form typically includes provider name, contact information, licensing details, types of services provided, and demographic information about clients served.
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