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General NPI Number Information
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NPI Number | 1962363226
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Entity Type | Individual
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Provider Name | JESSICA BURNETT MPS, LPC-A, ATR-P
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Gender | Female
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Dates
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Enumeration Date | 11/18/2025
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Last Update Date | 11/18/2025
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Provider Practice Location Address
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Address Line | 1301 S CAPITAL OF TEXAS HWY STE C130
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City | WEST LAKE HILLS
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State | TX
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Zip | 78746-6590
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Country | US
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Telephone | 512-309-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 3112 WINDSOR RD # 326
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City | AUSTIN
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State | TX
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Zip | 78703-2350
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Country | US
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Telephone | 512-230-9648
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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 | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 25-511
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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 | 100049
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License Number State | TX
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