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General NPI Number Information
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NPI Number | 1053125898
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Entity Type | Organization
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Legal Business Name | UPLAND FAMILY COUNSELING PLLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 15727 PONDEROSA PASS
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City | HELOTES
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State | TX
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Zip | 78023-3684
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Country | US
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Telephone | 210-776-3015
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Fax |
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Provider Business Mailing Address
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Address Line | 15727 PONDEROSA PASS
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City | HELOTES
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State | TX
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Zip | 78023-3684
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Country | US
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Telephone | 210-776-3015
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Fax |
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | ROSS HENDRICKSON
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Credential | LMFT-A
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Telephone | 210-776-3015
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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 |
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License Number State |
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