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General NPI Number Information
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NPI Number | 1285895367
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Entity Type | Individual
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Provider Name | MARIANNE SOPHIA METZNER M.S., M.A., LPC-S
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Gender | Female
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Dates
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Enumeration Date | 06/20/2008
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Last Update Date | 09/08/2011
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Provider Practice Location Address
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Address Line | 2499 S CAPITAL OF TEXAS HWY BUILDING B, SUITE 201
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City | AUSTIN
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State | TX
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Zip | 78746-7762
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Country | US
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Telephone | 512-203-5460
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Fax |
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Provider Business Mailing Address
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Address Line | 8312 LA PLATA LOOP
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City | AUSTIN
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State | TX
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Zip | 78737-3126
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Country | US
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Telephone | 512-961-8312
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Fax | 512-329-5150
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 61353
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 61353
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 61353
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License Number State | TX
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