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General NPI Number Information
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NPI Number | 1215492368
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Entity Type | Organization
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Legal Business Name | GADBURY COUNSELING, LLC
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Dates
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Enumeration Date | 02/04/2019
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 1 CHISHOLM TRAIL RD STE 450
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City | ROUND ROCK
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State | TX
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Zip | 78681-5094
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Country | US
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Telephone | 512-862-7200
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Fax | 512-862-7205
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Provider Business Mailing Address
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Address Line | 1 CHISHOLM TRAIL RD SUITE 450
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City | ROUND ROCK
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State | TX
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Zip | 78726-4208
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Country | US
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Telephone | 512-862-7200
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Fax | 512-862-7205
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Authorized Official
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Title or Position | OWNER
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Name | KELLY DENISE GADBURY
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Credential | LPC
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Telephone | 512-862-7200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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