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General NPI Number Information
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NPI Number | 1225677479
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Entity Type | Organization
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Legal Business Name | VASSARRIS COUNSELING
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Dates
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Enumeration Date | 01/04/2020
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Last Update Date | 01/04/2020
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Provider Practice Location Address
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Address Line | 700 W FM 78 STE 201
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City | CIBOLO
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State | TX
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Zip | 78108-3553
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Country | US
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Telephone | 210-598-0040
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Fax | 210-598-0102
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Provider Business Mailing Address
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Address Line | PO BOX 202
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City | CIBOLO
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State | TX
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Zip | 78108-0202
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Country | US
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Telephone | 210-598-0040
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNIFER VASSELL
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Credential | MA
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Telephone | 210-598-0040
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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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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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