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General NPI Number Information
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NPI Number | 1114414661
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Entity Type | Organization
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Legal Business Name | DESTINATION YOU COUNSELING, PLLC
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 04/20/2018
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Provider Practice Location Address
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Address Line | 5824 RIDGEHAVEN DR
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City | PLANO
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State | TX
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Zip | 75093-8541
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Country | US
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Telephone | 972-473-9030
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Fax |
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Provider Business Mailing Address
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Address Line | 5824 RIDGEHAVEN DR
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City | PLANO
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State | TX
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Zip | 75093-8541
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Country | US
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Telephone | 972-473-9030
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Fax |
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Authorized Official
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Title or Position | OWNER MANAGER
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Name | YOLANDA CECILIA ORTA-SWOPE
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Credential | LPC-S
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Telephone | 972-473-9030
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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 |
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License Number State |
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