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General NPI Number Information
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NPI Number | 1710104377
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Entity Type | Organization
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Legal Business Name | MARY MORIN AND ASSOCIATES
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/21/2008
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Provider Practice Location Address
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Address Line | 17200 SH 249 #240
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City | HOUSTON
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State | TX
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Zip | 77064
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Country | US
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Telephone | 281-890-3979
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Fax | 281-890-3978
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Provider Business Mailing Address
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Address Line | 17200 SH 249 #240
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City | HOUSTON
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State | TX
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Zip | 77064
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Country | US
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Telephone | 281-890-3979
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Fax | 281-890-3978
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Authorized Official
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Title or Position | OWNER
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Name | MRS. MARY BETH MORIN
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Credential | LPC
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Telephone | 281-890-3979
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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 | 08701
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | #967
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LPC-#08701
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License Number State | TX
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