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General NPI Number Information
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NPI Number | 1396079067
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Entity Type | Individual
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Provider Name | MARILYN JANE RUMSEY LCSW, LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/28/2009
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Last Update Date | 05/31/2011
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Provider Practice Location Address
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Address Line | 17723 SAN LUIS PASS RD
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City | GALVESTON
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State | TX
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Zip | 77554-8614
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Country | US
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Telephone | 940-696-6483
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Fax | 425-940-1622
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Provider Business Mailing Address
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Address Line | 17723 SAN LUIS PASS RD
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City | GALVESTON
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State | TX
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Zip | 77554-8614
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Country | US
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Telephone | 940-696-6483
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Fax | 426-940-1622
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1264-1000
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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 | 1165
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 07284
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 2191
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License Number State | TX
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