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General NPI Number Information
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NPI Number | 1811738610
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Entity Type | Organization
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Legal Business Name | I RISE COUNSELING AND CONSULTING PLLC
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 700 W CENTER ST APT 51
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4537
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Country | US
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Telephone | 858-588-3340
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Fax | 877-857-4762
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Provider Business Mailing Address
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Address Line | 5900 BALCONES DR # 8048
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City | AUSTIN
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State | TX
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Zip | 78731-4257
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Country | US
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Telephone | 858-588-3340
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Fax | 877-857-4762
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Authorized Official
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Title or Position | OWER - PROFESSIONAL COUNSELOR
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Name | KATONYIA HAMMOND
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Credential | MA LPC
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Telephone | 858-588-3340
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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 |
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License Number State |
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