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General NPI Number Information
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NPI Number | 1013351626
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Entity Type | Organization
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Legal Business Name | BRAZORIA COUNTY COUNSELING CENTER, LLC
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Dates
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Enumeration Date | 04/25/2013
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Last Update Date | 07/24/2014
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Provider Practice Location Address
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Address Line | 120 E PLUM ST
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City | ANGLETON
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State | TX
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Zip | 77515-6012
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Country | US
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Telephone | 281-910-0921
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Fax |
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Provider Business Mailing Address
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Address Line | 5642 COUNTY ROAD 823
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City | WEST COLUMBIA
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State | TX
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Zip | 77486-9388
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Country | US
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Telephone | 281-705-0800
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | MRS. DELMA GARZA
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Credential | LPC
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Telephone | 281-705-0800
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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 | 62789
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License Number State | TX
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