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General NPI Number Information
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NPI Number | 1992164826
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Entity Type | Organization
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Legal Business Name | U CAN TOO PROFESSIONAL COUNSELING SERVICES, PLLC
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Dates
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Enumeration Date | 02/20/2016
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Last Update Date | 02/20/2016
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Provider Practice Location Address
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Address Line | 2027 FAIRWOOD KNOLL LN
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City | FRESNO
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State | TX
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Zip | 77545-7098
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Country | US
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Telephone | 713-369-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 2027 FAIRWOOD KNOLL LN
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City | FRESNO
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State | TX
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Zip | 77545-7098
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Country | US
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Telephone | 713-369-1990
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Fax |
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Authorized Official
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Title or Position | OWNER/CLINICAL DIRECTOR
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Name | LAQUONDRA PATTERSON
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Credential | LPC
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Telephone | 281-382-9445
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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 | 70203
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License Number State | TX
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