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General NPI Number Information
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NPI Number | 1326015595
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Entity Type | Organization
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Legal Business Name | CLARITY CHILD GUIDANCE CENTER
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Dates
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Enumeration Date | 03/07/2006
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Last Update Date | 06/30/2020
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Provider Practice Location Address
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Address Line | 8535 TOM SLICK
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City | SAN ANTONIO
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State | TX
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Zip | 78229-3367
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Country | US
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Telephone | 210-616-0300
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Fax | 210-507-7683
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Provider Business Mailing Address
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Address Line | 8535 TOM SLICK
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City | SAN ANOTNIO
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State | TX
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Zip | 78229-3367
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Country | US
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Telephone | 210-447-6945
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Fax | 210-507-7683
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. JESSICA KNUDSEN
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Credential | LCSW
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Telephone | 210-616-0300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | 000737
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License Number State | TX
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