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General NPI Number Information
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NPI Number | 1619846953
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Entity Type | Organization
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Legal Business Name | 2ND CHANCE COUNSELING & FAMILY SERVICES
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 6825 HUEBNER RD UNIT 680054
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City | SAN ANTONIO
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State | TX
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Zip | 78238-2108
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Country | US
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Telephone | 619-736-0086
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Fax |
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Provider Business Mailing Address
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Address Line | 6825 HUEBNER RD UNIT 680054
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City | SAN ANTONIO
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State | TX
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Zip | 78238-2108
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Country | US
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Telephone | 619-736-0086
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Fax |
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Authorized Official
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Title or Position | THERAPIST
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Name | CLEOPHUS HARRIS
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Credential | MA
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Telephone | 619-736-0086
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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 |
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License Number State |
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