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General NPI Number Information
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NPI Number | 1982729281
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Entity Type | Organization
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Legal Business Name | CHILD & FAMILY THERAPY CENTER
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Dates
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Enumeration Date | 03/19/2007
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Last Update Date | 07/29/2008
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Provider Practice Location Address
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Address Line | 1610 POSEY LN SUITE 204
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-4954
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Country | US
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Telephone | 903-885-9583
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Fax | 903-885-9583
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Provider Business Mailing Address
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Address Line | 1610 POSEY LN SUITE 204
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-4954
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Country | US
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Telephone | 908-885-9583
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Fax | 903-885-9583
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Authorized Official
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Title or Position | DIRECTOR, THERAPIST
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Name | LINDA S. WILLIAMSON
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Credential | M.S.,L.P.C.
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Telephone | 903-994-4129
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 17639
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License Number State | TX
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