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General NPI Number Information
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NPI Number | 1689450363
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Entity Type | Organization
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Legal Business Name | RECLAIM U COUNSELING, PLLC
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Dates
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Enumeration Date | 09/07/2023
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 11824 JOLLYVILLE RD STE 103
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City | AUSTIN
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State | TX
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Zip | 78759-2318
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Country | US
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Telephone | 737-226-4101
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 737-226-4101
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JENNA WADE GARMAN
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Credential | MA, LPC ASSOCIATE
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Telephone | 737-226-4101
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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