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General NPI Number Information
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NPI Number | 1497613988
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Entity Type | Individual
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Provider Name | JASMYN MCCANLIES LPC
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Gender | Female
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Dates
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Enumeration Date | 01/13/2026
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Last Update Date | 01/13/2026
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Provider Practice Location Address
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Address Line | 1601 N ANGLIN ST
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City | CLEBURNE
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State | TX
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Zip | 76031-1835
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Country | US
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Telephone | 682-500-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 631 LINDA CT
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City | JOSHUA
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State | TX
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Zip | 76058-3086
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Country | US
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Telephone | 860-271-5611
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 95315
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License Number State | TX
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