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General NPI Number Information
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NPI Number | 1649526815
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Entity Type | Organization
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Legal Business Name | THE LOOKING GLASS COUNSELING GROUP, LLC
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Dates
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Enumeration Date | 07/25/2012
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 6609 VIRGINIA PKWY
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City | MCKINNEY
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State | TX
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Zip | 75071-5513
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Country | US
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Telephone | 972-808-7901
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Fax | 972-808-7979
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Provider Business Mailing Address
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Address Line | 6609 VIRGINIA PKWY
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City | MCKINNEY
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State | TX
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Zip | 75071-5513
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Country | US
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Telephone | 972-808-7901
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Fax | 972-808-7979
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Authorized Official
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Title or Position | LICENSED COUNSELOR-SUPERVISOR
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Name | MRS. JENNIFER HOSKINS
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Credential | M.ED., LPC-S
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Telephone | 972-808-7901
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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 | 60869
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License Number State | TX
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