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General NPI Number Information
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NPI Number | 1770210163
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Entity Type | Organization
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Legal Business Name | YAS FARROKH COUNSELING PLLC
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Dates
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Enumeration Date | 08/04/2022
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 1107 HOLLY DR
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City | CARROLLTON
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State | TX
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Zip | 75010-1073
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Country | US
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Telephone | 469-465-5115
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Fax | 972-848-0114
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Provider Business Mailing Address
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Address Line | 1107 HOLLY DR
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City | CARROLLTON
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State | TX
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Zip | 75010-1073
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Country | US
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Telephone | 469-465-5115
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Fax | 972-848-0114
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Authorized Official
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Title or Position | LICENSED PROFESSIONAL COUNSELOR
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Name | YAS FARROKHSERESHT
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Credential |
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Telephone | 469-465-5115
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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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