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General NPI Number Information
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NPI Number | 1467218537
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Entity Type | Organization
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Legal Business Name | PURE GUIDANCE COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 02/26/2024
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Last Update Date | 02/26/2024
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Provider Practice Location Address
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Address Line | 14200 VANCE JACKSON RD APT 24101
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City | SAN ANTONIO
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State | TX
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Zip | 78249-1971
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Country | US
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Telephone | 830-282-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 19141 STONE OAK PKWY STE 104
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City | SAN ANTONIO
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State | TX
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Zip | 78258-3367
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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 | OWNER
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Name | SANDRA URZUA
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Credential | LPC
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Telephone | 830-282-7747
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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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