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General NPI Number Information
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NPI Number | 1033908538
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Entity Type | Individual
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Provider Name | DESTINY ANDERSON
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Gender | Female
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Dates
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Enumeration Date | 05/02/2025
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Last Update Date | 05/02/2025
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Provider Practice Location Address
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Address Line | 5206 FM 1960 RD W STE 103
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City | HOUSTON
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State | TX
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Zip | 77069-4405
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Country | US
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Telephone | 832-569-7673
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Fax |
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Provider Business Mailing Address
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Address Line | 14500 CUTTEN RD APT 22203
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City | HOUSTON
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State | TX
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Zip | 77069-1013
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Country | US
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Telephone | 346-407-9046
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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 | 92349
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License Number State | TX
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