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General NPI Number Information
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NPI Number | 1649574328
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Entity Type | Organization
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Legal Business Name | ALLIANCE COUNSELING & FAMILY THERAPY, PLLC
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Dates
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Enumeration Date | 01/10/2011
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Last Update Date | 01/10/2011
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Provider Practice Location Address
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Address Line | 517 FM 156
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City | JUSTIN
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State | TX
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Zip | 76247-4601
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Country | US
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Telephone | 940-300-8241
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Fax | 682-224-8539
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Provider Business Mailing Address
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Address Line | 517 FM 156
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City | JUSTIN
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State | TX
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Zip | 76247-4601
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Country | US
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Telephone | 940-300-8241
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Fax | 682-224-8539
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | CHRISTINA BRANHAM
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Credential | MS, PHD(C), LPC
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Telephone | 940-300-8241
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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 | 62664
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License Number State | TX
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