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General NPI Number Information
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NPI Number | 1194044438
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Entity Type | Organization
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Legal Business Name | ABIDING HOPE CHRISTIAN COUNSELING, LTD.
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Dates
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Enumeration Date | 05/26/2010
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Last Update Date | 05/26/2010
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Provider Practice Location Address
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Address Line | 19115 FM 2252 STE 12
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City | SAN ANTONIO
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State | TX
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Zip | 78266-2578
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Country | US
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Telephone | 210-573-5034
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Fax |
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Provider Business Mailing Address
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Address Line | 19115 FM 2252 STE 12
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City | SAN ANTONIO
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State | TX
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Zip | 78266-2578
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Country | US
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Telephone | 210-573-5034
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | GINGER LEEANNE GRAY
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Credential | LCSW
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Telephone | 210-573-5034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 30734
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License Number State | TX
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