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NPI 1013922103

NPI 1013922103 : RHONDA K FOUSEK LPC : VANDERPOOL, TX

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General NPI Number Information
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    NPI Number           |    1013922103
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    Entity Type          |    Individual 
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    Provider Name        |    RHONDA K FOUSEK LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/29/2006
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    Last Update Date     |    03/29/2024
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Provider Practice Location Address
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    Address Line         |    1856 EVANS CREEK RD 
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    City                 |    VANDERPOOL
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    State                |    TX
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    Zip                  |    78885-0236
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    Country              |    US
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    Telephone            |    830-796-5533
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    Fax                  |    830-966-5198
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Provider Business Mailing Address
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    Address Line         |    PO BOX 236 
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    City                 |    VANDERPOOL
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    State                |    TX
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    Zip                  |    78885-0236
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    Country              |    US
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    Telephone            |    830-796-5533
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    Fax                  |    830-966-5198
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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        |    101YP2500X
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    Taxonomy Name        |    Professional Counselor
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    License Number       |    16861
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    License Number State |    TX
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