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General NPI Number Information
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NPI Number | 1295062495
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Entity Type | Organization
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Legal Business Name | JOY ENIE BOURLAND, MARRIAGE AND FAMILY THERAPY PLLC
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Dates
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Enumeration Date | 11/09/2009
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Last Update Date | 11/09/2009
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Provider Practice Location Address
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Address Line | 9950 CYPRESSWOOD DR SUITE 206
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City | HOUSTON
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State | TX
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Zip | 77070-3414
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Country | US
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Telephone | 281-813-0672
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Fax |
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Provider Business Mailing Address
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Address Line | 6718 PEBBLE BEACH DR
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City | HOUSTON
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State | TX
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Zip | 77069-2443
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Country | US
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Telephone | 281-813-0672
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Fax | 281-580-1375
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Authorized Official
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Title or Position | MARRIAGE & FAMILY THERAPIST
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Name | JOY ENIE BOURLAND
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Credential | MA, LMFT, LPC
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Telephone | 281-813-0672
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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 | 60499
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 200894
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License Number State | TX
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