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General NPI Number Information
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NPI Number | 1467836262
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Entity Type | Organization
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Legal Business Name | DESOBE COUNSELING & CONSULTATION PLLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 4306 YOAKUM BLVD SUITE 565
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City | HOUSTON
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State | TX
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Zip | 77006-5851
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Country | US
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Telephone | 713-459-7332
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Fax |
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Provider Business Mailing Address
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Address Line | 4306 YOAKUM BLVD SUITE 565
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City | HOUSTON
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State | TX
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Zip | 77006-5851
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Country | US
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Telephone | 713-459-7332
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. SANDRA L DESOBE
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Credential | MA, LPC, LMFT
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Telephone | 713-459-7332
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 23403
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License Number State | TX
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