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General NPI Number Information
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NPI Number | 1528508959
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Entity Type | Organization
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Legal Business Name | NOC CLINICAL COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 03/04/2017
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Last Update Date | 01/12/2026
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Provider Practice Location Address
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Address Line | 5830 COLLIN MCKINNEY PKWY STE 301
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City | MCKINNEY
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State | TX
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Zip | 75070-5109
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Country | US
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Telephone | 469-215-5713
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Fax |
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Provider Business Mailing Address
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Address Line | 5830 COLLIN MCKINNEY PKWY STE 301
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City | MCKINNEY
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State | TX
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Zip | 75070-5109
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Country | US
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Telephone | 469-215-5713
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | THERESA JAMERSON
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Credential | LPC-S
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Telephone | 248-249-0469
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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 | 72896
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License Number State | TX
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