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1780771709 NPI number — MARJEAN LAUGHLIN NELSON M ED LPC

NPI Number: 1780771709
Health Care Provider/Practitioner: MARJEAN LAUGHLIN NELSON M ED LPC

Information about “1780771709” NPI (MARJEAN LAUGHLIN NELSON M ED LPC) exists in 1780771709 in HTML format HTML  |  1780771709 in plain Text format TXT  |  1780771709 in PDF (Portable Document Format) PDF  |  1780771709 in an XML format XML  formats.

NPI Number : 1780771709 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1780771709",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "Y",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "NELSON",
    "FirstName": "MARJEAN",
    "MiddleName": "LAUGHLIN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "M ED LPC",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "1670 KELLER PKWY",
    "SecondLineMailingAddress": "SUITE 261",
    "MailingAddressCityName": "KELLER",
    "MailingAddressStateName": "TX",
    "MailingAddressPostalCode": "76248",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "817-741-7999",
    "MailingAddressFaxNumber": "817-741-7015",
    "FirstLinePracticeLocationAddress": "1670 KELLER PKWY",
    "SecondLinePracticeLocationAddress": "SUITE 261",
    "PracticeLocationAddressCityName": "KELLER",
    "PracticeLocationAddressStateName": "TX",
    "PracticeLocationAddressPostalCode": "76248",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "817-741-7999",
    "PracticeLocationAddressFaxNumber": "817-741-7015",
    "EnumerationDate": "10/10/2006",
    "LastUpdateDate": "09/18/2007",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "101Y00000X",
          "TaxonomyName": "Counselor",
          "LicenseNumber": "8383",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "101YP2500X",
          "TaxonomyName": "Professional Counselor",
          "LicenseNumber": "18704",
          "LicenseNumberStateCode": "TX",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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