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General NPI Number Information
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NPI Number | 1790599272
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Entity Type | Organization
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Legal Business Name | BREAKTHROUGH COUNSELING, PLLC
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 14547 LAKE BUSINESS DR STE 401
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City | CONROE
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State | TX
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Zip | 77304-3251
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Country | US
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Telephone | 832-299-4802
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Fax |
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Provider Business Mailing Address
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Address Line | 2815 CHAUCER DR
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City | MONTGOMERY
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State | TX
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Zip | 77356-8099
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Country | US
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Telephone | 713-822-0054
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | LORI VAN DRESAR
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Credential | LPC
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Telephone | 713-822-0054
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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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