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General NPI Number Information
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NPI Number | 1376437814
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Entity Type | Individual
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Provider Name | JILL ELAINE BROWN LPC-ASSOCIATE, LCDC
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Gender | Female
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/09/2025
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Provider Practice Location Address
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Address Line | 1101 WATERS EDGE DR STE 120
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City | GRANBURY
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State | TX
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Zip | 76048-1474
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Country | US
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Telephone | 817-290-5996
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Fax |
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Provider Business Mailing Address
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Address Line | 3207 GOLDEN OAKS CIR
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City | GRANBURY
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State | TX
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Zip | 76049-2982
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Country | US
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Telephone | 817-219-1005
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Fax |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 98861
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 15122
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License Number State | TX
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