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NPI 1417772732

NPI 1417772732 : CHRISTOPHER WASHINGTON LPC ASSOCIATE : DALLAS, TX

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General NPI Number Information
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    NPI Number           |    1417772732
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTOPHER WASHINGTON LPC ASSOCIATE
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    11/21/2024
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    Last Update Date     |    11/21/2024
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Provider Practice Location Address
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    Address Line         |    12801 N CENTRAL EXPY STE 1727 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75243-1716
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    Country              |    US
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    Telephone            |    972-464-8668
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    412 RED RIVER TRL APT 1040 
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    City                 |    IRVING
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    State                |    TX
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    Zip                  |    75063-6509
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    Country              |    US
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    Telephone            |    718-791-0976
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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       |    
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    License Number State |    TX
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