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General NPI Number Information
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NPI Number | 1366949463
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Entity Type | Individual
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Provider Name | MOLLY ANN HARRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 04/06/2018
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 4635 SOUTHWEST FWY STE 635
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City | HOUSTON
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State | TX
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Zip | 77027-7112
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Country | US
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Telephone | 713-850-0049
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Fax |
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Provider Business Mailing Address
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Address Line | 2924 KNIGHT ST STE 426
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City | SHREVEPORT
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State | LA
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Zip | 71105-2414
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Country | US
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Telephone | 318-754-3560
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Fax | 318-779-0439
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 4699
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License Number State | LA
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