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General NPI Number Information
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NPI Number | 1194800276
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Entity Type | Organization
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Legal Business Name | LETA ACKER, MA, PC AND ASSOCIATES
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 02/27/2014
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Provider Practice Location Address
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Address Line | 1616 S KENTUCKY ST BLDG. D SUITE 260
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City | AMARILLO
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State | TX
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Zip | 79102-2252
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Country | US
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Telephone | 806-468-8900
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Fax | 806-468-8902
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Provider Business Mailing Address
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Address Line | 1616 S KENTUCKY ST BLDG. D SUITE 260
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City | AMARILLO
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State | TX
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Zip | 79102-2252
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Country | US
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Telephone | 806-468-8900
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Fax | 806-468-8902
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Authorized Official
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Title or Position | PRESIDENT
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Name | LETA ACKER
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Credential | LPC, LMFT
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Telephone | 806-468-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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