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General NPI Number Information
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NPI Number | 1689032302
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Entity Type | Individual
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Provider Name | ELIZABETH JANCA M.S, LPC, NCC
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Gender | Female
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Dates
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Enumeration Date | 02/09/2016
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 20008 CHAMPION FOREST DR STE 704
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City | SPRING
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State | TX
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Zip | 77379-8696
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Country | US
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Telephone | 469-812-8434
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Fax |
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Provider Business Mailing Address
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Address Line | 7741 THEISSETTA DR
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City | SPRING
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State | TX
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Zip | 77379-6279
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Country | US
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Telephone | 832-969-0020
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Fax |
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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 | 15891
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 75346
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License Number State | TX
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Taxonomy #3
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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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