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General NPI Number Information
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NPI Number | 1902405905
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Entity Type | Organization
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Legal Business Name | CAMBRON COUNSELING
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Dates
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Enumeration Date | 10/21/2020
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Last Update Date | 10/21/2020
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Provider Practice Location Address
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Address Line | 33300 EGYPT LN STE K900
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City | MAGNOLIA
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State | TX
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Zip | 77354-3338
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Country | US
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Telephone | 832-585-3656
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Fax |
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Provider Business Mailing Address
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Address Line | 20103 INDIGO LAKE DR
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City | MAGNOLIA
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State | TX
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Zip | 77355-4130
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Country | US
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Telephone | 713-249-1793
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Fax |
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Authorized Official
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Title or Position | AUTHORIZED OFFICIAL/OWNER
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Name | MS. TARAH CHANNAN CAMBRON
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Credential | LPC
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Telephone | 713-249-1793
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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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