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General NPI Number Information
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NPI Number | 1932982642
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Entity Type | Individual
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Provider Name | STEPHEN CARSON MS, LPC-A, NCC
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Gender | Male
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Dates
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Enumeration Date | 08/16/2023
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1705 GENEVA LANE.
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City | PLANO
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State | TX
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Zip | 75075
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Country | US
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Telephone | 214-216-1024
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 862006
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City | PLANO
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State | TX
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Zip | 75086-2006
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Country | US
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Telephone | 214-216-1024
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 89233
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License Number State | TX
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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 | 89233
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License Number State | TX
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