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General NPI Number Information
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NPI Number | 1316495344
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Entity Type | Organization
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Legal Business Name | MEMORIAL COMPREHENSIVE COUNSELING, LLC
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Dates
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Enumeration Date | 09/20/2016
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Last Update Date | 09/20/2016
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Provider Practice Location Address
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Address Line | 14133 MEMORIAL DR SUITE 4
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City | HOUSTON
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State | TX
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Zip | 77079-6857
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Country | US
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Telephone | 713-443-6878
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Fax |
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Provider Business Mailing Address
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Address Line | 13806 BRITOAK LN
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City | HOUSTON
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State | TX
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Zip | 77079-3325
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Country | US
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Telephone | 713-443-6878
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MONIQUE TORRES
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Credential | M.ED., LPC
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Telephone | 713-443-6878
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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 | 72710
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License Number State | TX
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