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NPI 1831459007

NPI 1831459007 : SHAWN MARIE PARROTT LPC, NCC : LUBBOCK, TX

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General NPI Number Information
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    NPI Number           |    1831459007
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    Entity Type          |    Individual 
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    Provider Name        |    SHAWN MARIE PARROTT LPC, NCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/22/2012
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    Last Update Date     |    10/28/2013
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Provider Practice Location Address
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    Address Line         |    6202 IOLA AVE # 133 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79424-2728
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    Country              |    US
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    Telephone            |    806-778-8879
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3501 N HOLLY ST 
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    City                 |    LUBBOCK
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    State                |    TX
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    Zip                  |    79403-9725
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    Country              |    US
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    Telephone            |    806-778-8879
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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       |    65395
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    License Number State |    TX
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