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General NPI Number Information
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NPI Number | 1447838602
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Entity Type | Organization
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Legal Business Name | URBAN COUNSELING NETWORK
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Dates
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Enumeration Date | 03/30/2021
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Last Update Date | 03/30/2021
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Provider Practice Location Address
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Address Line | 4501 CARTWRIGHT RD STE 304
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City | MISSOURI CITY
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State | TX
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Zip | 77459-3539
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Country | US
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Telephone | 713-385-6797
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Fax | 844-364-1686
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Provider Business Mailing Address
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Address Line | 12059 WILLOW TRL
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City | HOUSTON
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State | TX
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Zip | 77035-3967
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Country | US
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Telephone | 713-385-6797
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Fax | 844-364-1686
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Authorized Official
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Title or Position | CEO/THERAPIST
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Name | SHANNA C GARDNER
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Credential | LPC
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Telephone | 713-385-6797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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