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General NPI Number Information
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NPI Number | 1841595949
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Entity Type | Organization
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Legal Business Name | EL CAMINO COUNSELING, PLLC
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Dates
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Enumeration Date | 01/20/2011
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Last Update Date | 12/16/2024
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Provider Practice Location Address
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Address Line | 10245 KEMPWOOD DR # 218
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City | HOUSTON
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State | TX
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Zip | 77043-1803
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Country | US
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Telephone | 713-647-0002
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Fax | 713-647-0885
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Provider Business Mailing Address
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Address Line | 10245 KEMPWOOD DR STE E
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City | HOUSTON
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State | TX
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Zip | 77043-1840
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Country | US
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Telephone | 713-647-0002
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Fax | 713-647-0885
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Authorized Official
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Title or Position | OWNER
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Name | JURI LEE
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Credential | LPC-S
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Telephone | 713-647-0002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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