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General NPI Number Information
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NPI Number | 1629668132
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Entity Type | Organization
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Legal Business Name | ADORNED COUNSELING BY JENNIFER CAIN
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Dates
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Enumeration Date | 01/20/2021
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Last Update Date | 01/20/2021
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Provider Practice Location Address
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Address Line | 1300 BAY AREA BLVD STE B233
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City | HOUSTON
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State | TX
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Zip | 77058-2505
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Country | US
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Telephone | 832-721-5559
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Fax | 832-201-7325
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Provider Business Mailing Address
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Address Line | 2005 MYRTLE CREST CT
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City | PEARLAND
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State | TX
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Zip | 77581-3545
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Country | US
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Telephone | 409-350-8997
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Fax | 832-201-7325
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Authorized Official
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Title or Position | OWNER/PSYCHOTHERAPIST
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Name | JENNIFER CAIN
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Credential | LPC, LCDC, CCATP
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Telephone | 832-721-5559
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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