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General NPI Number Information
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NPI Number | 1821660036
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Entity Type | Organization
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Legal Business Name | 316 COUNSELING CENTER
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Dates
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Enumeration Date | 07/15/2021
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Last Update Date | 07/15/2021
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Provider Practice Location Address
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Address Line | 333 E BETHANY DR STE B130
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City | ALLEN
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State | TX
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Zip | 75002-3816
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Country | US
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Telephone | 469-631-0369
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Fax |
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Provider Business Mailing Address
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Address Line | 333 E BETHANY DR STE B130
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City | ALLEN
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State | TX
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Zip | 75002-3816
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Country | US
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Telephone | 469-631-0369
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | REBECCA B WELSH
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Credential | PH.D, LPC-S, RPT-S
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Telephone | 469-631-0369
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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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