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General NPI Number Information
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NPI Number | 1407448392
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Entity Type | Organization
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Legal Business Name | CORE CONCEPTS COUNSELING PLLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 9555 LEBANON RD STE 402
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City | FRISCO
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State | TX
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Zip | 75035-6082
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Country | US
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Telephone | 214-497-2426
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Fax |
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Provider Business Mailing Address
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Address Line | 2617 LINKS DR
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City | PLANO
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State | TX
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Zip | 75093-6333
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Country | US
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Telephone | 214-497-2426
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Fax |
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Authorized Official
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Title or Position | BUSINESS OWNER
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Name | KARLA JEAN BEAMAN
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Credential | LCSW
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Telephone | 214-497-2426
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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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