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General NPI Number Information
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NPI Number | 1245899509
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Entity Type | Organization
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Legal Business Name | LOCUS COUNSELING CENTER
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 06/11/2019
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Provider Practice Location Address
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Address Line | 800 ROCKMEAD DR STE 155
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City | KINGWOOD
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State | TX
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Zip | 77339-2652
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Country | US
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Telephone | 281-631-5229
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Fax |
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Provider Business Mailing Address
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Address Line | 3218 REDWOOD LODGE DR
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City | KINGWOOD
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State | TX
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Zip | 77339-2430
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Country | US
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Telephone | 281-631-5229
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Fax |
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Authorized Official
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Title or Position | OWNER / COUNSELOR
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Name | DUANE JOHNSON
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Credential | LPC, NCC
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Telephone | 254-317-2883
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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 |
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License Number State |
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