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General NPI Number Information
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NPI Number | 1871408880
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Entity Type | Organization
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Legal Business Name | CACTUS AZUL COUNSELING & PSYCHOTHERAPY LLC
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Dates
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Enumeration Date | 08/14/2026
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Last Update Date | 08/14/2026
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Provider Practice Location Address
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Address Line | 8204 ELMBROOK DR STE 263
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City | DALLAS
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State | TX
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Zip | 75247-4143
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Country | US
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Telephone | 214-310-0755
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Fax |
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Provider Business Mailing Address
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Address Line | 3025 MAHANNA SPRINGS DR APT D
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City | DALLAS
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State | TX
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Zip | 75235-8737
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Country | US
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Telephone | 212-786-2003
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RUBEN SAUCEDA
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Credential | LPC, ASOTP
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Telephone | 212-786-2003
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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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