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NPI 1700606878

NPI 1700606878 : J & S COUNSELING : CROWLEY, TX

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General NPI Number Information
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    NPI Number           |    1700606878
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    Entity Type          |    Organization 
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    Legal Business Name  |    J & S COUNSELING 
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Dates
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    Enumeration Date     |    10/14/2024
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    Last Update Date     |    01/28/2025
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Provider Practice Location Address
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    Address Line         |    212 LINCOLN LN 
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    City                 |    CROWLEY
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    State                |    TX
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    Zip                  |    76036-4016
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    Country              |    US
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    Telephone            |    817-300-9164
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    212 LINCOLN LN 
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    City                 |    CROWLEY
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    State                |    TX
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    Zip                  |    76036-4016
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    Country              |    US
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    Telephone            |    817-300-9164
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     JENNIFER NICOLE SMITH 
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    Credential           |    
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    Telephone            |    817-330-9164
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    101YA0400X
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    Taxonomy Name        |    Addiction (Substance Use Disorder) Counselor
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    License Number       |    
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    License Number State |    
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