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General NPI Number Information
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NPI Number | 1508352188
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Entity Type | Organization
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Legal Business Name | KARA LUCAS COUNSELING PLLC
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Dates
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Enumeration Date | 07/06/2018
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Last Update Date | 07/23/2018
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Provider Practice Location Address
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Address Line | 6626 SILVERMINE DR STE 600
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City | AUSTIN
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State | TX
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Zip | 78736
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Country | US
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Telephone | 512-589-6616
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Fax |
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Provider Business Mailing Address
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Address Line | 8557 RED WILLOW DR
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City | AUSTIN
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State | TX
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Zip | 78736-3041
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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 | LICENSED PROFESSIONAL COUNSELOR
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Name | KARA LUCAS
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Credential | MA, LPC
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Telephone | 512-589-6616
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 75183
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License Number State | TX
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