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General NPI Number Information
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NPI Number | 1023071743
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Entity Type | Organization
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Legal Business Name | INTERACTIVE COUNSELING & CONSULTING SERVICES INC
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Dates
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Enumeration Date | 04/12/2006
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Last Update Date | 05/08/2008
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Provider Practice Location Address
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Address Line | 216 MARKET AVE STE 110
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City | BOERNE
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State | TX
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Zip | 78006-3003
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Country | US
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Telephone | 830-249-8521
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Fax | 314-272-8521
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Provider Business Mailing Address
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Address Line | 216 MARKET AVE STE 110
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City | BOERNE
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State | TX
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Zip | 78006-3003
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Country | US
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Telephone | 830-249-8521
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Fax | 314-272-8521
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. AMY ZAPF
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Credential |
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Telephone | 830-249-8521
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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 | 5161
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License Number State | TX
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