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General NPI Number Information
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NPI Number | 1508724048
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Entity Type | Organization
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Legal Business Name | DISCOVERED SELF PSYCHOTHERAPY PLLC
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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 | 4410 DELWOOD DR
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City | BROWNWOOD
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State | TX
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Zip | 76801-7354
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Country | US
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Telephone | 325-203-2233
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Fax |
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Provider Business Mailing Address
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Address Line | 4410 DELWOOD DR
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City | BROWNWOOD
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State | TX
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Zip | 76801-7354
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Country | US
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Telephone | 325-203-2233
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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 | DEREK ROYCE JESKO
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Credential | LPC
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Telephone | 325-203-2233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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