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General NPI Number Information
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NPI Number | 1184072092
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Entity Type | Organization
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Legal Business Name | DANIELLE ETTER, MS, LPC
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Dates
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Enumeration Date | 06/01/2016
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Last Update Date | 06/01/2016
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Provider Practice Location Address
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Address Line | 4010 BLUE BONNET SUITE 202
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City | HOUSTON
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State | TX
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Zip | 77025-1700
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Country | US
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Telephone | 973-271-8354
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Fax |
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Provider Business Mailing Address
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Address Line | 4010 BLUE BONNET BLVD SUITE 202
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City | HOUSTON
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State | TX
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Zip | 77025-1700
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | DANIELLE ETTER
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Credential | MS, LPC
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Telephone | 973-271-8354
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 66034
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License Number State | TX
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