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General NPI Number Information
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NPI Number | 1639427461
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Entity Type | Organization
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Legal Business Name | HRC COUNSELING, LLC
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Dates
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Enumeration Date | 08/28/2012
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Last Update Date | 08/28/2012
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Provider Practice Location Address
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Address Line | 1100 EAST MAIN ST
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City | KERRVILLE
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State | TX
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Zip | 78028-3530
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Country | US
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Telephone | 830-370-9329
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Fax | 830-331-4050
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Provider Business Mailing Address
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Address Line | PO BOX 366
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City | BOERNE
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State | TX
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Zip | 78006-0366
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Country | US
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Telephone | 830-370-9329
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Fax | 830-331-4050
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. HEIDI RENEE CONLIN
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Credential | MS, LPC, LMFT
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Telephone | 830-370-9329
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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 | 64720
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 201300
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License Number State | TX
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