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General NPI Number Information
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NPI Number | 1659748309
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Entity Type | Organization
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Legal Business Name | CLARITY COUNSELING CENTER OF ELLIS COUNTY INC
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Dates
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Enumeration Date | 08/28/2015
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Last Update Date | 08/28/2015
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Provider Practice Location Address
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Address Line | 215 W FRANKLIN ST SUITE 200
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City | WAXAHACHIE
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State | TX
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Zip | 75165-3617
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Country | US
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Telephone | 214-693-7382
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2262
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City | RED OAK
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State | TX
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Zip | 75154-1574
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Country | US
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Telephone | 214-693-7382
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | SANDRA KIRBY BRUCE
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Credential | LPC
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Telephone | 214-693-7382
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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 | 11570
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License Number State | TX
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