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General NPI Number Information
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NPI Number | 1487447025
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Entity Type | Organization
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Legal Business Name | MOUNTAIN STAR COUNSELING PLLC
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Dates
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Enumeration Date | 05/27/2025
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Last Update Date | 05/27/2025
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Provider Practice Location Address
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Address Line | 2601 E YANDELL DR STE 113
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City | EL PASO
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State | TX
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Zip | 79903-3743
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Country | US
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Telephone | 915-209-1381
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Fax | 915-292-6615
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Provider Business Mailing Address
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Address Line | 2601 E YANDELL DR STE 113
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City | EL PASO
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State | TX
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Zip | 79903-3743
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Country | US
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Telephone | 915-209-1381
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Fax | 915-292-6615
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Authorized Official
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Title or Position | CEO
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Name | CHRISTAL EILEEN TUCKER
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Credential | LCSW
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Telephone | 915-471-1186
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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