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General NPI Number Information
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NPI Number | 1861341067
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Entity Type | Organization
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Legal Business Name | DISTINCT 1 THERAPY, PLLC
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Dates
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Enumeration Date | 01/22/2026
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Last Update Date | 01/22/2026
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Provider Practice Location Address
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Address Line | 3418 N TARRANT PKWY STE 320
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City | FORT WORTH
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State | TX
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Zip | 76177-8646
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Country | US
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Telephone | 817-653-9027
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Fax |
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Provider Business Mailing Address
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Address Line | 3418 N TARRANT PKWY STE 320
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City | FORT WORTH
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State | TX
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Zip | 76177-8646
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MISTY MICHELLE JASSO
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Credential |
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Telephone | 214-226-4326
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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