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General NPI Number Information
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NPI Number | 1932706785
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Entity Type | Individual
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Provider Name | MARIANNA FERRIS LPC
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Gender | Female
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Dates
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Enumeration Date | 10/05/2020
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Last Update Date | 10/05/2020
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Provider Practice Location Address
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Address Line | 2410 E RIVERSIDE DR
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City | AUSTIN
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State | TX
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Zip | 78741-3083
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Country | US
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Telephone | 512-472-4357
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Fax |
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Provider Business Mailing Address
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Address Line | 501 E STASSNEY LN APT 1024
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City | AUSTIN
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State | TX
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Zip | 78745-3398
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Country | US
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Telephone | 787-225-0066
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 80975
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80975
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License Number State | TX
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