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General NPI Number Information
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NPI Number | 1154085579
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Entity Type | Organization
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Legal Business Name | BILBRAY COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 10/22/2021
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 115 S MCCORMICK ST STE 2
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City | PRESCOTT
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State | AZ
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Zip | 86303-4738
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Country | US
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Telephone | 978-710-9229
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Fax |
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Provider Business Mailing Address
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Address Line | 115 S MCCORMICK ST STE 2
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City | PRESCOTT
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State | AZ
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Zip | 86303-4738
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM BILBRAY
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Credential |
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Telephone | 928-710-9229
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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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