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General NPI Number Information
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NPI Number | 1093054165
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Entity Type | Individual
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Provider Name | ELIZABETH MARTINEZ ACUNA LPC LPCC NCC CCMHC D
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Gender | Female
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Dates
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Enumeration Date | 02/08/2013
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 330-999-0317
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Fax |
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Provider Business Mailing Address
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Address Line | 4641 FULTON DR NW
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City | CANTON
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State | OH
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Zip | 44718-2384
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Country | US
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Telephone | 330-433-6075
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | C1200252
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.1800848
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 80644
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License Number State | TX
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