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General NPI Number Information
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NPI Number | 1568665123
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Entity Type | Organization
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Legal Business Name | THE WOODLANDS RELIGIOUS COMMUNITY, INC
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2204 TIMBERLOCH PL SUITE 100
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1164
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Country | US
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Telephone | 281-363-1633
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Fax | 281-363-3898
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Provider Business Mailing Address
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Address Line | 2204 TIMBERLOCH PL SUITE 100
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City | THE WOODLANDS
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State | TX
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Zip | 77380-1164
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Country | US
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Telephone | 281-363-1633
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Fax | 281-363-3898
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Authorized Official
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Title or Position | CENTER DIRECTOR
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Name | MS. JAN HOFER
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Credential | LPC
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Telephone | 281-363-1633
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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 | NA
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License Number State |
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