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General NPI Number Information
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NPI Number | 1033828868
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Entity Type | Individual
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Provider Name | HANNAH JOY DE VRIES LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 11/21/2022
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Last Update Date | 11/21/2022
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Provider Practice Location Address
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Address Line | 8101 W STATE HWY 71
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City | AUSTIN
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State | TX
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Zip | 78735
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Country | US
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Telephone | 512-348-8570
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Fax |
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Provider Business Mailing Address
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Address Line | 2025 NORTHVIEW DR
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City | SAN MARCOS
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State | TX
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Zip | 78666-2294
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Country | US
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Telephone | 512-839-7570
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 89438
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License Number State | TX
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