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General NPI Number Information
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NPI Number | 1477318301
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Entity Type | Organization
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Legal Business Name | PASSAGES COUNSELING GROUP, PLLC
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Dates
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Enumeration Date | 02/20/2024
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 7210 W INTERSTATE HIGHWAY 2 STE B
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City | MISSION
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State | TX
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Zip | 78572-9528
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Country | US
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Telephone | 956-897-5160
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Fax |
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Provider Business Mailing Address
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Address Line | 3504 MARI LEE AVE
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City | MISSION
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State | TX
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Zip | 78574-4376
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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 | DR. NAILA JASSO
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Credential | DPC, LPC-S
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Telephone | 956-897-5160
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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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