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General NPI Number Information
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NPI Number | 1043522972
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Entity Type | Organization
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Legal Business Name | CAREER AND RECOVERY RESOURCES INC.
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Dates
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Enumeration Date | 07/08/2010
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 2525 SAN JACINTO ST
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City | HOUSTON
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State | TX
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Zip | 77002-9131
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Country | US
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Telephone | 713-754-7000
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Fax | 713-754-7068
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Provider Business Mailing Address
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Address Line | 2525 SAN JACINTO ST
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City | HOUSTON
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State | TX
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Zip | 77002-9131
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Country | US
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Telephone | 713-754-7000
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Fax | 713-754-7068
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Authorized Official
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Title or Position | PROGRAM DIRECTOR
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Name | MR. JEFFREY MICHAEL BERRY
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Credential | M. ED., LCDC
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Telephone | 713-754-7005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 341M
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 341J
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 341K
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 341A
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License Number State | TX
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