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General NPI Number Information
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NPI Number | 1790452852
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Entity Type | Organization
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Legal Business Name | RS&D COUNSELING AND CONSULTING, PLLC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2021
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Provider Practice Location Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 737-333-5283
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Fax | 512-229-9125
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR STE 100
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City | AUSTIN
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State | TX
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Zip | 78731-4298
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Country | US
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Telephone | 737-333-5283
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Fax |
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Authorized Official
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Title or Position | CLINICAL SOCIAL WORKER
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Name | SHANETRA FOWLER
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Credential | LCSW, LSOTP
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Telephone | 773-633-7365
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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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