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General NPI Number Information
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NPI Number | 1720163132
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Entity Type | Individual
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Provider Name | JOEL L. CARR PH.D., LCSW-S, LPC-S
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Gender | Male
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Dates
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Enumeration Date | 10/25/2006
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Last Update Date | 06/05/2023
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Provider Practice Location Address
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Address Line | 2601 WEST AVENUE N DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY, HHS 318P
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City | SAN ANGELO
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State | TX
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Zip | 76909
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Country | US
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Telephone | 325-486-6881
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Fax |
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Provider Business Mailing Address
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Address Line | DEPARTMENT OF SOCIAL WORK AND SOCIOLOGY ASU STATION #11043
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City | SAN ANGELO
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State | TX
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Zip | 76909
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Country | US
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Telephone | 325-486-6881
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 16199
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 15246
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 15246
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 30420
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License Number State | TX
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