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General NPI Number Information
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NPI Number | 1194493387
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Entity Type | Individual
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Provider Name | APRIL GRISSOM LPC
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Gender | Female
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Dates
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Enumeration Date | 09/01/2021
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Last Update Date | 09/01/2021
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Provider Practice Location Address
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Address Line | 525 S LOCUST ST STE 101
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City | DENTON
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State | TX
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Zip | 76201-6137
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Country | US
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Telephone | 940-565-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 1850 RIVERSIDE DR
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City | DENTON
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State | TX
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Zip | 76208-1857
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Country | US
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Telephone | 469-233-0134
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 83412
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License Number State | TX
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