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General NPI Number Information
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NPI Number | 1912771338
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Entity Type | Organization
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Legal Business Name | STONE OAK COUNSELORS INC
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Dates
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Enumeration Date | 11/07/2023
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Last Update Date | 11/07/2023
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Provider Practice Location Address
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Address Line | 215 N LOOP 1604 E STE 5208
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City | SAN ANTONIO
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State | TX
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Zip | 78232-1281
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Country | US
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Telephone | 210-920-9998
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Fax |
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Provider Business Mailing Address
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Address Line | 6011 NASH CREEK CT
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City | KATY
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State | TX
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Zip | 77494-2237
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Country | US
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Telephone | 832-928-6376
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Fax |
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Authorized Official
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Title or Position | CLINICAL DIRECTOR
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Name | MRS. KELLY PEYTON
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Credential | LPC-S
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Telephone | 210-920-9998
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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