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General NPI Number Information
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NPI Number | 1588071864
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Entity Type | Organization
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Legal Business Name | CARING ABOUT MYSELF COUNSELING SERVICES PLLC
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Dates
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Enumeration Date | 07/17/2014
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Last Update Date | 07/17/2014
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Provider Practice Location Address
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Address Line | 99 REGENCY PKWY STE 309
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City | MANSFIELD
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State | TX
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Zip | 76063-7817
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Country | US
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Telephone | 817-845-4709
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Fax |
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Provider Business Mailing Address
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Address Line | 99 REGENCY PKWY STE 309
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City | MANSFIELD
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State | TX
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Zip | 76063-7817
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Country | US
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Telephone | 817-845-4709
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAN MCDONALD
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Credential | LPC
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Telephone | 817-845-4709
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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 | 71260
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License Number State | TX
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