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General NPI Number Information
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NPI Number | 1477177087
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Entity Type | Organization
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Legal Business Name | TRUE-SELF COUNSELING PLLC
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Dates
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Enumeration Date | 05/31/2020
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Last Update Date | 05/23/2022
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Provider Practice Location Address
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Address Line | 4500 W ILLINOIS AVE STE 206A
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City | MIDLAND
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State | TX
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Zip | 79703-5439
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Country | US
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Telephone | 432-257-6937
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Fax |
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Provider Business Mailing Address
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Address Line | 2011 N LINCOLN AVE
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City | ODESSA
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State | TX
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Zip | 79761-2439
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Country | US
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Telephone | 432-257-3564
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | ELIANA BRITO
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Credential | MA, LPC
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Telephone | 432-257-6937
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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