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General NPI Number Information
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NPI Number | 1750044244
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Entity Type | Organization
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Legal Business Name | MILESTONE FAMILY COUNSELING
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 8668 JOHN HICKMAN PKWY STE 303
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City | FRISCO
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State | TX
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Zip | 75034-8181
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Country | US
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Telephone | 469-315-6314
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Fax |
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Provider Business Mailing Address
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Address Line | 8668 JOHN HICKMAN PKWY STE 303
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City | FRISCO
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State | TX
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Zip | 75034-8181
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Country | US
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Telephone | 469-315-6314
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Fax |
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | DR. ANGELA MARIE PENA
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Credential | PHD
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Telephone | 469-315-6314
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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 |
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License Number State |
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