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General NPI Number Information
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NPI Number | 1336308410
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Entity Type | Organization
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Legal Business Name | JENNINGS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 06/04/2008
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Last Update Date | 06/04/2008
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Provider Practice Location Address
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Address Line | 3014 SW 26TH AVE SUITE 4000
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City | AMARILLO
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State | TX
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Zip | 79109-3176
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Country | US
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Telephone | 806-282-1137
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Fax | 806-356-9046
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Provider Business Mailing Address
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Address Line | 3014 SW 26TH AVE SUITE 4000
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City | AMARILLO
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State | TX
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Zip | 79109-3176
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Country | US
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Telephone | 806-282-1137
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Fax | 806-356-9046
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Authorized Official
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Title or Position | MANAGER
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Name | SARA LYNN JENNINGS
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Credential | MA, LPC
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Telephone | 806-282-1137
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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 | 19387
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19378
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License Number State | TX
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