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General NPI Number Information
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NPI Number | 1134738024
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Entity Type | Organization
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Legal Business Name | COUNSELING WITH CHRISTINE
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Dates
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Enumeration Date | 07/27/2020
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Last Update Date | 07/27/2020
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Provider Practice Location Address
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Address Line | 5005 COLLEYVILLE BLVD STE 205
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City | COLLEYVILLE
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State | TX
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Zip | 76034-5864
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Country | US
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Telephone | 817-658-3812
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Fax |
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Provider Business Mailing Address
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Address Line | 512 COLLEYVILLE TER
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City | COLLEYVILLE
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State | TX
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Zip | 76034-3061
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Country | US
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Telephone | 817-239-8297
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. CHRISTINE JEFFRIES
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Credential | LPCS
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Telephone | 817-239-8297
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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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