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General NPI Number Information
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NPI Number | 1801397609
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Entity Type | Organization
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Legal Business Name | KAREN COLLETT PSYCHOTHERAPY PLLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 02/27/2018
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Provider Practice Location Address
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Address Line | 813 W 11TH ST STE B
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City | AUSTIN
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State | TX
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Zip | 78701-2058
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Country | US
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Telephone | 512-963-6633
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Fax |
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Provider Business Mailing Address
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Address Line | 813 W 11TH ST STE B
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City | AUSTIN
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State | TX
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Zip | 78701-2058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | KAREN COLLETT
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Credential |
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Telephone | 512-996-3663
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 71165
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License Number State | TX
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