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General NPI Number Information
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NPI Number | 1740691591
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Entity Type | Organization
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Legal Business Name | INTEGRATION COUNSELING SERVICES LLC
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Dates
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Enumeration Date | 05/14/2014
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 215 E UNIVERSITY DR
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City | DENTON
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State | TX
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Zip | 76209-2011
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Country | US
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Telephone | 940-390-5123
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Fax |
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Provider Business Mailing Address
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Address Line | 306 SURVEYORS RD
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City | KRUGERVILLE
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State | TX
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Zip | 76227-9537
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Country | US
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Telephone | 940-390-5123
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Fax |
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Authorized Official
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Title or Position | PROFESSIONAL COUNSELOR
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Name | MS. KATHRYN KALAHAN ARRINGTON
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Credential | LPC
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Telephone | 940-390-5123
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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 | 16054
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License Number State | TX
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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 | 60968
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License Number State | TX
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