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General NPI Number Information
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NPI Number | 1073335485
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Entity Type | Organization
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Legal Business Name | COMFORT AND RESOURCE COUNSELING
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Dates
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Enumeration Date | 10/28/2024
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Last Update Date | 10/28/2024
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Provider Practice Location Address
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Address Line | 5920 DEER RUN DR
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City | MCKINNEY
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State | TX
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Zip | 75070-9593
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Country | US
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Telephone | 214-551-9785
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Fax |
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Provider Business Mailing Address
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Address Line | 5920 DEER RUN DRIVE
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City | MCKINNEY
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State | TX
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Zip | 75070-1524
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Country | US
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Telephone | 214-301-3983
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Fax |
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Authorized Official
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Title or Position | LPC
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Name | LORETTA LYNN PENDERGRASS
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Credential | LPC
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Telephone | 214-726-6924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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