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General NPI Number Information
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NPI Number | 1518551456
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Entity Type | Organization
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Legal Business Name | REWRITE YOUR STORY COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 02/22/2021
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Last Update Date | 02/22/2021
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Provider Practice Location Address
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Address Line | 2591 DALLAS PKWY STE 300
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City | FRISCO
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State | TX
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Zip | 75034-8563
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Country | US
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Telephone | 830-357-8933
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Fax | 830-240-8096
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Provider Business Mailing Address
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Address Line | 12235 RED HAWK DR
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City | FRISCO
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State | TX
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Zip | 75033-1606
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Country | US
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Telephone | 830-357-8933
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CAROLYN JEAN BURLESON
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Credential | LPC,LCDC,MAC
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Telephone | 830-357-8933
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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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