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General NPI Number Information
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NPI Number | 1720497480
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Entity Type | Organization
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Legal Business Name | HARVEST COUNSELING
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Dates
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Enumeration Date | 08/07/2014
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Last Update Date | 01/04/2018
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Provider Practice Location Address
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Address Line | 1501-C SOUTH WHEELER STREET
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City | JASPER
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State | TX
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Zip | 75951
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Country | US
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Telephone | 409-489-8299
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Fax |
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Provider Business Mailing Address
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Address Line | 1501-C SOUTH WHEELER STREET
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City | JASPER
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State | TX
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Zip | 75951
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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 | EXECUTIVE DIRECTOR
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Name | DAVID SCOTT HUGHES
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Credential |
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Telephone | 409-622-9252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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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 | 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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