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NPI 1952634560

NPI 1952634560 : CYNTHIA NETTING LPC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1952634560
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    Entity Type          |    Individual 
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    Provider Name        |    CYNTHIA NETTING LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/14/2009
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    Last Update Date     |    10/31/2011
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Provider Practice Location Address
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    Address Line         |    1210 PARKWAY 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78703-4133
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    Country              |    US
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    Telephone            |    512-658-5452
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1210 PARKWAY 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78703-4133
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    Country              |    US
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    Telephone            |    512-658-5452
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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       |    62812
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    License Number State |    TX
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