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NPI 1710339320

NPI 1710339320 : CHAPMAN COUNSELING CENTER : KILLEEN, TX

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General NPI Number Information
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    NPI Number           |    1710339320
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    Entity Type          |    Organization 
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    Legal Business Name  |    CHAPMAN COUNSELING CENTER 
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Dates
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    Enumeration Date     |    07/07/2016
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    Last Update Date     |    07/07/2016
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Provider Practice Location Address
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    Address Line         |    1519 FLORENCE RD SUITE 16
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76541-7979
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    Country              |    US
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    Telephone            |    915-662-4038
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    Fax                  |    254-774-9315
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Provider Business Mailing Address
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    Address Line         |    1519 FLORENCE RD SUITE 16
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    City                 |    KILLEEN
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    State                |    TX
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    Zip                  |    76541-7979
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    Country              |    US
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    Telephone            |    915-662-4038
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    Fax                  |    254-774-9315
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     MARICELA RUBI CHAPMAN 
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    Credential           |    LMFT
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    Telephone            |    951-662-4038
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0801X
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    Taxonomy Name        |    Mental Health Clinic/Center (Including Community Mental Health Center)
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    License Number       |    202406
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    License Number State |    TX
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