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General NPI Number Information
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NPI Number | 1750837415
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Entity Type | Organization
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Legal Business Name | ADD HOPE CO:UNSELING, PLLC
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Dates
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Enumeration Date | 08/31/2016
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Last Update Date | 08/31/2016
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Provider Practice Location Address
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Address Line | 14642 BERGENIA DR
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City | CYPRESS
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State | TX
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Zip | 77429-7252
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Country | US
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Telephone | 713-213-3861
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Fax |
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Provider Business Mailing Address
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Address Line | 14642 BERGENIA DR.
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City | CYPRESS
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State | TX
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Zip | 77429
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Country | US
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Telephone | 713-213-3861
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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 | CARRIE S. FOLLMAR
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Credential | MED., M.A., LPC
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Telephone | 713-213-3861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 72608
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License Number State | TX
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