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General NPI Number Information
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NPI Number | 1588930135
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Entity Type | Organization
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Legal Business Name | EN CHRISTO COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 03/28/2012
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Last Update Date | 03/28/2012
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Provider Practice Location Address
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Address Line | 906 C M FAGAN DR STE A3
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City | HAMMOND
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State | LA
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Zip | 70403-6056
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Country | US
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Telephone | 985-345-8363
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Fax | 985-345-8360
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Provider Business Mailing Address
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Address Line | 906 C M FAGAN DR STE A3
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City | HAMMOND
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State | LA
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Zip | 70403-6056
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Country | US
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Telephone | 985-345-8363
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Fax | 985-345-8360
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Authorized Official
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Title or Position | CREDENTIALING/BILLING-MENTAL HEALTH
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Name | MRS. DEBBIE D ADKINS
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Credential |
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Telephone | 985-662-5164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 653
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 113
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License Number State | LA
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