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General NPI Number Information
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NPI Number | 1538452743
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Entity Type | Organization
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Legal Business Name | JESSICA ACKER LPC, INC.
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Dates
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Enumeration Date | 05/20/2011
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Last Update Date | 12/09/2014
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Provider Practice Location Address
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Address Line | 1605 BEECH ST STE A2
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City | EL PASO
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State | TX
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Zip | 79925-1101
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Country | US
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Telephone | 915-549-5308
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Fax | 915-881-8788
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Provider Business Mailing Address
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Address Line | 10935 BEN SRENSHAW STE 100
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City | EL PASO
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State | TX
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Zip | 79935
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Country | US
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Telephone | 915-549-5308
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Fax | 915-881-8788
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Authorized Official
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Title or Position | OWNER
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Name | JESSICA ACKER
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Credential |
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Telephone | 915-549-5308
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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 | 63041
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 63041
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License Number State | TX
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