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General NPI Number Information
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NPI Number | 1801692272
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Entity Type | Individual
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Provider Name | CARRIE BETH COTTER LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 02/24/2025
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 1336 CAVENDER DR
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City | HURST
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State | TX
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Zip | 76053-4002
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Country | US
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Telephone | 682-422-6722
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Fax |
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Provider Business Mailing Address
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Address Line | 1165 JERRY LN
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City | BEDFORD
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State | TX
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Zip | 76022-7137
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Country | US
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Telephone | 817-983-4994
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 98042
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License Number State | TX
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