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General NPI Number Information
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NPI Number | 1316498314
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Entity Type | Organization
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Legal Business Name | CYPRESSWOOD CHRISTIAN COUNSELING PLLC
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 9950 CYPRESSWOOD DR SUITE 355
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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 | 832-493-6965
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Fax |
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Provider Business Mailing Address
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Address Line | 9950 CYPRESSWOOD DR SUITE 355
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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 | 832-493-6965
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Fax |
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Authorized Official
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Title or Position | OWNER/ COUNSELOR
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Name | MRS. SANDY M BOND
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Credential | LPC
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Telephone | 207-329-7451
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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 | 68139
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License Number State | TX
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