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General NPI Number Information
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NPI Number | 1184809378
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Entity Type | Organization
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Legal Business Name | SOUTHWEST COUNSELING SERVICES, PC
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 01/07/2008
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Provider Practice Location Address
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Address Line | 1725 E MAIN ST
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City | LEAGUE CITY
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State | TX
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Zip | 77573-4146
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Country | US
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Telephone | 281-332-3300
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Fax | 281-332-0039
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Provider Business Mailing Address
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Address Line | 1725 EAST MAIN STREET
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City | LEAGUE CITY
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State | TX
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Zip | 77573
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Country | US
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Telephone | 281-332-3300
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Fax | 281-332-0039
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARNA VEE LOECKLE
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Credential |
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Telephone | 281-332-3300
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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 | 12291
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License Number State | TX
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