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General NPI Number Information
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NPI Number | 1811594450
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Entity Type | Organization
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Legal Business Name | JESSICA HOOSON, LCSW, P.L.L.C.
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Dates
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Enumeration Date | 10/06/2020
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Last Update Date | 10/09/2022
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Provider Practice Location Address
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Address Line | 1004 PLACID CREEK CT
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City | ROUND ROCK
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State | TX
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Zip | 78665-1188
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Country | US
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Telephone | 713-299-2861
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Fax |
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Provider Business Mailing Address
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Address Line | 1004 PLACID CREEK CT
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City | ROUND ROCK
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State | TX
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Zip | 78665-1188
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Country | US
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Telephone | 713-299-2861
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JESSICA HOOSON DIGGS
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Credential | LCSW
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Telephone | 713-299-2861
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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