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General NPI Number Information
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NPI Number | 1720233844
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Entity Type | Organization
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Legal Business Name | STRENGTH BASED COUNSELING, CORP
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Dates
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Enumeration Date | 11/18/2008
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Last Update Date | 12/08/2008
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Provider Practice Location Address
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Address Line | 7706 CROOKED ROAD ST
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2613
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Country | US
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Telephone | 210-421-3287
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Fax |
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Provider Business Mailing Address
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Address Line | 7706 CROOKED ROAD ST
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City | SAN ANTONIO
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State | TX
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Zip | 78254-2613
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR-S
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Name | GUADALUPE ELIZONDO
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Credential | LPC-S
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Telephone | 210-421-3287
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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