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General NPI Number Information
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NPI Number | 1659893766
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Entity Type | Individual
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Provider Name | CAROLYN JEAN LITTERAL LPC, LCDC
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Gender | Female
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Dates
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Enumeration Date | 07/10/2017
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Last Update Date | 09/22/2023
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Provider Practice Location Address
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Address Line | 2828 E TRINITY MILLS RD STE 106
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City | CARROLLTON
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State | TX
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Zip | 75006-2327
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Country | US
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Telephone | 830-357-8933
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Fax |
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Provider Business Mailing Address
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Address Line | 2516 SILVERTHORNE DR
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City | DALLAS
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State | TX
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Zip | 75287-5866
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Country | US
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Telephone | 830-357-8933
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Fax | 940-240-3096
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 75008
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 13108
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License Number State | TX
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