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General NPI Number Information
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NPI Number | 1437422367
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Entity Type | Individual
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Provider Name | CAROL JANNIK PH.D.
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Gender | Female
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Dates
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Enumeration Date | 02/23/2012
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 6863 TOURNAMENT DR
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City | HOUSTON
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State | TX
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Zip | 77069-1219
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Country | US
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Telephone | 318-228-7143
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Fax |
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Provider Business Mailing Address
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Address Line | 516 MARION ST
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City | NATCHITOCHES
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State | LA
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Zip | 71457-5539
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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 |
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 456
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License Number State | LA
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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 | 456
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License Number State | LA
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