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General NPI Number Information
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NPI Number | 1306304134
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Entity Type | Organization
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Legal Business Name | AMANDA OWEN COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 03/11/2019
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Last Update Date | 08/21/2019
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Provider Practice Location Address
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Address Line | 6010 W SPRING CREEK PKWY STE 232
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City | PLANO
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State | TX
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Zip | 75024-3569
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Country | US
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Telephone | 469-767-6888
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Fax | 972-848-9777
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Provider Business Mailing Address
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Address Line | 6010 W SPRING CREEK PKWY # 232
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City | PLANO
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State | TX
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Zip | 75024-3569
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Country | US
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Telephone | 972-848-6050
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Fax | 972-848-9777
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | AMANDA OWEN
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Credential | M.A., LPC-S
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Telephone | 972-848-6050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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