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General NPI Number Information
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NPI Number | 1679215578
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Entity Type | Organization
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Legal Business Name | DMN COUNSELING, PLLC
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Dates
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Enumeration Date | 04/11/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 6803 INDIANA AVE
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City | LUBBOCK
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State | TX
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Zip | 79413-6109
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Country | US
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Telephone | 806-620-1166
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Fax |
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Provider Business Mailing Address
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Address Line | 6707 3RD ST
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City | LUBBOCK
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State | TX
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Zip | 79416-3721
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Country | US
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Telephone | 806-620-1166
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIANE NORMAN
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Credential | LPC-S
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Telephone | 806-620-1166
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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 |
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