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General NPI Number Information
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NPI Number | 1831646546
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Entity Type | Organization
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Legal Business Name | ACDI COUNSELING & CONSULTING SERVICES, LLC
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Dates
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Enumeration Date | 09/10/2016
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Last Update Date | 09/10/2016
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Provider Practice Location Address
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Address Line | 16821 BUCCANEER LN SUITE 119
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City | HOUSTON
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State | TX
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Zip | 77058-2544
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Country | US
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Telephone | 281-513-3859
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Fax | 281-488-2104
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Provider Business Mailing Address
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Address Line | 1423 W PARKWOOD AVE APT. 2104
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City | FRIENDSWOOD
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State | TX
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Zip | 77546-5707
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Country | US
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Telephone | 281-513-3859
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Fax | 281-488-2104
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Authorized Official
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Title or Position | SOCIAL WORKER/COUNSELOR
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Name | MS. ANNIE DUNFORD ISAAC
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Credential | LBSW-IPR, MHR, BA
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Telephone | 281-513-3859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 26919
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License Number State | TX
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