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General NPI Number Information
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NPI Number | 1023576055
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Entity Type | Organization
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Legal Business Name | TEXAS ONLINE COUNSELING PLLC
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Dates
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Enumeration Date | 03/08/2019
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Last Update Date | 03/08/2019
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Provider Practice Location Address
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Address Line | 926 WITHERBY LN
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City | LEWISVILLE
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State | TX
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Zip | 75067-4477
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Country | US
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Telephone | 888-317-7021
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Fax | 888-317-7021
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Provider Business Mailing Address
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Address Line | 2023 W RANCH RD
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City | FARMINGTON
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State | UT
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Zip | 84025-5029
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Country | US
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Telephone | 888-317-7021
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Fax | 888-317-7021
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | MICHELLE INAUEN
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Credential | MA., LPC AND LMFT
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Telephone | 888-317-7021
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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