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General NPI Number Information
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NPI Number | 1649188863
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Entity Type | Organization
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Legal Business Name | AD GAUDIUM COUNSELING PLLC
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Dates
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Enumeration Date | 08/29/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 2624 KENSINGTON DR STE 113
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City | TYLER
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State | TX
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Zip | 75703-2734
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Country | US
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Telephone | 903-781-1776
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Fax |
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Provider Business Mailing Address
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Address Line | 3300 GREG LN
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City | TYLER
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State | TX
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Zip | 75701-7330
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Country | US
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Telephone | 903-780-8478
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTINE M HARRIS
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Credential | LPC
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Telephone | 903-780-8478
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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 | NULL
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