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General NPI Number Information
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NPI Number | 1710379680
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Entity Type | Organization
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Legal Business Name | VALLEY COUNSELING CENTER
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 11/02/2016
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Provider Practice Location Address
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Address Line | 214 N 16TH ST STE 114
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City | MCALLEN
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State | TX
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Zip | 78501-7983
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Country | US
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Telephone | 956-340-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 214 N 16TH ST STE 114
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City | MCALLEN
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State | TX
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Zip | 78501-7983
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Country | US
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Telephone | 956-340-0022
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Fax |
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Authorized Official
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Title or Position | OWNER/PRACTICIONER
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Name | CRISTINA LARA
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Credential | LPCS
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Telephone | 956-340-0022
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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 | 63732
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License Number State | TX
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