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General NPI Number Information
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NPI Number | 1851574396
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Entity Type | Organization
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Legal Business Name | CATHOLIC CHARITIES OF THE ARCHDIOCESE OF GALVESTON HOUSTON
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Dates
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Enumeration Date | 12/06/2007
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 2900 LOUISIANA ST
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City | HOUSTON
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State | TX
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Zip | 77006-3435
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Country | US
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Telephone | 713-526-4611
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Fax | 713-526-1546
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Provider Business Mailing Address
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Address Line | 2900 LOUISIANA ST
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City | HOUSTON
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State | TX
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Zip | 77006-3435
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Country | US
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Telephone | 713-526-4611
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Fax | 713-526-1546
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Authorized Official
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Title or Position | CLINICAL SUPERVISOR
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Name | JENIFER MITCHELL SANTOS
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Credential | LCSW-S
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Telephone | 713-351-6972
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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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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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