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General NPI Number Information
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NPI Number | 1326444613
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Entity Type | Organization
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Legal Business Name | CCI THERAPY -COUNSELING CENTERS INTERNATIONAL
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 908 PAREDES LINE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2660
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Country | US
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Telephone | 956-982-0082
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Fax |
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Provider Business Mailing Address
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Address Line | 908 PAREDES LINE RD
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City | BROWNSVILLE
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State | TX
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Zip | 78521-2660
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Country | US
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Telephone | 956-982-0082
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SANDRA GARCIAQUINTANA
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Credential | DC
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Telephone | 956-423-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 65943
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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