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General NPI Number Information
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NPI Number | 1134936875
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Entity Type | Organization
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Legal Business Name | COTTONWOOD CREEK COUNSELING
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Dates
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Enumeration Date | 12/16/2024
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Last Update Date | 01/02/2025
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Provider Practice Location Address
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Address Line | 1401 SANDIA PLZ
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City | BRYAN
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State | TX
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Zip | 77802-4356
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Country | US
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Telephone | 979-587-6245
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Fax |
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Provider Business Mailing Address
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Address Line | 2312 VALLEY VIEW DR
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City | BRYAN
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State | TX
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Zip | 77802-2138
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Country | US
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Telephone | 979-587-6245
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ANNE O. STORRIE
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Credential | LPC
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Telephone | 979-587-6245
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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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