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General NPI Number Information
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NPI Number | 1457990947
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Entity Type | Organization
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Legal Business Name | PAX CONSULTING AND COUNSELING, PLLC
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Dates
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Enumeration Date | 12/31/2019
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Last Update Date | 09/24/2020
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Provider Practice Location Address
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Address Line | 1205 THISTLE PARK
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City | WACO
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State | TX
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Zip | 76706-7292
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Country | US
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Telephone | 502-438-8711
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2202
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City | HEWITT
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State | TX
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Zip | 76643-2202
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Country | US
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Telephone | 502-438-8711
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Fax |
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Authorized Official
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Title or Position | CO-OWNER/COUNSELOR
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Name | DR. JENNIFER NIVIN WILLIAMSON
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Credential | PH.D.,LPC, NCC
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Telephone | 502-438-8711
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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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