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General NPI Number Information
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NPI Number | 1275277899
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Entity Type | Organization
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Legal Business Name | A DISTINCT APPROACH COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 04/21/2022
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Last Update Date | 07/05/2022
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 504-338-1128
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/EMPLOYEE
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Name | KRISTIAN LEAVELL
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Credential |
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Telephone | 832-356-3367
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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