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General NPI Number Information
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NPI Number | 1558101113
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Entity Type | Organization
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Legal Business Name | TRIQUETRA COUNSELING, PLLC
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Dates
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Enumeration Date | 05/30/2024
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 714 YARSA BLVD UNIT A
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City | AUSTIN
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State | TX
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Zip | 78748-6539
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Country | US
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Telephone | 704-476-1580
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Fax |
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Provider Business Mailing Address
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Address Line | 3926 MIRIAM DR
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City | CHARLOTTE
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State | NC
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Zip | 28205-7726
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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 | CO-OWNER, THERAPIST
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Name | SABINA KLEIN
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Credential | LCMHC, LPC
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Telephone | 512-590-1065
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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 |
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License Number State |
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