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General NPI Number Information
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NPI Number | 1851544738
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Entity Type | Organization
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Legal Business Name | ACORN COUNSELING PLLC
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Dates
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Enumeration Date | 10/23/2008
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Last Update Date | 06/28/2018
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Provider Practice Location Address
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Address Line | 109 ENTERPRISE PKWY STE 201
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City | BOERNE
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State | TX
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Zip | 78006
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Country | US
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Telephone | 830-981-5330
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Fax | 830-755-5345
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Provider Business Mailing Address
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Address Line | 109 ENTERPRISE PKWY STE 201
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City | BOERNE
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State | TX
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Zip | 78006-8636
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Country | US
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Telephone | 830-981-5330
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | SUSAN CAROL LOVELAND
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Credential | LPC, NCC
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Telephone | 830-981-5330
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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 | 62294
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License Number State | TX
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