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General NPI Number Information
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NPI Number | 1023495041
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Entity Type | Organization
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Legal Business Name | AMERICA S COUNSELING CENTERS PLLC
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Dates
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Enumeration Date | 04/28/2015
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Last Update Date | 04/28/2015
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Provider Practice Location Address
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Address Line | 1711 E CENTRAL TEXAS EXPY STE 101
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City | KILLEEN
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State | TX
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Zip | 76541-9145
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Country | US
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Telephone | 254-690-2707
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Fax | 254-690-6909
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Provider Business Mailing Address
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Address Line | 2503 SCHULZE DR
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City | KILLEEN
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State | TX
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Zip | 76549-8565
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Country | US
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Telephone | 254-690-2707
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Fax | 254-690-6909
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Authorized Official
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Title or Position | PRACTICE MANAGER
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Name | AMY-JO CATHERINE NEUJAHR
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Credential |
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Telephone | 254-690-2707
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 19462
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License Number State | TX
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