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General NPI Number Information
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NPI Number | 1770832644
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Entity Type | Organization
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Legal Business Name | KAY LYNN JENKINS COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 09/06/2012
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 1612 ROSEWOOD ST
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City | HOUSTON
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State | TX
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Zip | 77004-4933
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Country | US
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Telephone | 713-730-9424
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Fax |
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Provider Business Mailing Address
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Address Line | 1612 ROSEWOOD ST
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City | HOUSTON
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State | TX
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Zip | 77004-4933
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Country | US
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Telephone | 713-730-9424
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Fax |
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Authorized Official
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Title or Position | MEMBER/MANAGER
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Name | KAY LYNN JENKINS
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Credential | LCSW
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Telephone | 713-392-2408
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 50345
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License Number State | TX
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