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General NPI Number Information
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NPI Number | 1790352557
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Entity Type | Organization
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Legal Business Name | ADVANCED COUNSELING
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Dates
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Enumeration Date | 06/09/2021
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Last Update Date | 08/17/2023
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Provider Practice Location Address
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Address Line | 8631 FAIRHAVEN ST BLD. 96 UNIT 14
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City | SAN ANTONIO
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State | TX
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Zip | 78229-2007
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Country | US
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Telephone | 210-504-8179
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Fax |
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Provider Business Mailing Address
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Address Line | 10228 E NORTHWEST HWY UNIT 345
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City | DALLAS
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State | TX
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Zip | 75238-4408
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Country | US
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Telephone | 210-504-8179
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. VERNA ALLEN
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Credential | CSW, MSW
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Telephone | 210-504-8179
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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