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General NPI Number Information
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NPI Number | 1609737832
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Entity Type | Organization
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Legal Business Name | ROCK BLOSSOM COUNSELING
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 01/10/2026
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Provider Practice Location Address
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Address Line | 835 SW ALSBURY BLVD STE 1
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City | BURLESON
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State | TX
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Zip | 76028-4093
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Country | US
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Telephone | 817-646-5740
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Fax |
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Provider Business Mailing Address
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Address Line | 2706 SE LOOP 820 # 1129
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City | FORT WORTH
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State | TX
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Zip | 76140-1011
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Country | US
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Telephone | 682-325-8688
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | MS. CHANDRA JACKSON
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Credential | LPC-ASSOCIATE
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Telephone | 682-325-8688
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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 |
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License Number State |
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