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General NPI Number Information
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NPI Number | 1639652555
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Entity Type | Organization
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Legal Business Name | O'BRIEN COUNSELING SERVICES, INC.
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Dates
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Enumeration Date | 09/07/2018
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Last Update Date | 09/07/2018
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Provider Practice Location Address
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Address Line | 21368 PROVINCIAL BLVD.
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-679-0929
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Fax | 281-679-0928
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Provider Business Mailing Address
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Address Line | 21368 PROVINCIAL BLVD.
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-679-0929
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Fax | 281-679-0928
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Authorized Official
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Title or Position | OWNER
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Name | MS. JUDITH WARNER O'BRIEN
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Credential | M.A./LPC, LSOTP
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Telephone | 281-935-7641
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 10837
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License Number State | TX
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