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NPI 1376361246

NPI 1376361246 : BARTLETT COUNSELING PLLC : NACOGDOCHES, TX

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General NPI Number Information
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    NPI Number           |    1376361246
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    Entity Type          |    Organization 
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    Legal Business Name  |    BARTLETT COUNSELING PLLC 
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Dates
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    Enumeration Date     |    09/30/2024
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    Last Update Date     |    09/30/2024
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Provider Practice Location Address
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    Address Line         |    924 N UNIVERSITY DR STE F 
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    City                 |    NACOGDOCHES
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    State                |    TX
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    Zip                  |    75961-4643
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    Country              |    US
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    Telephone            |    903-392-9893
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    523 E PARKER RD 
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    City                 |    NACOGDOCHES
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    State                |    TX
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    Zip                  |    75965-2590
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     JENNIFER  BARTLETT 
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    Credential           |    
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    Telephone            |    903-392-9893
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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       |    
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    License Number State |    
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