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General NPI Number Information
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NPI Number | 1336833359
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Entity Type | Organization
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Legal Business Name | ZEN VIBES AND FRENCH FRIES COUNSELING, PLLC
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Dates
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Enumeration Date | 06/05/2023
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 400 CHISHOLM PL STE 222
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City | PLANO
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State | TX
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Zip | 75075-7004
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Country | US
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Telephone | 214-571-7758
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Fax |
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Provider Business Mailing Address
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Address Line | 400 CHISHOLM PL STE 222
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City | PLANO
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State | TX
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Zip | 75075-7004
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Country | US
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Telephone | 214-571-7758
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Fax |
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Authorized Official
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Title or Position | THERAPIST AND PRACTICE OWNER
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Name | MS. KELLY J MARTIN
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Credential | MS, LPC
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Telephone | 214-571-7758
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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