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General NPI Number Information
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NPI Number | 1043339161
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Entity Type | Individual
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Provider Name | STEPHANIE ANN DAWDY LPC, LSSP
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Gender | Female
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 412 15TH ST
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City | CANYON
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State | TX
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Zip | 79015-3839
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Country | US
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Telephone | 806-654-5454
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Fax | 806-655-3425
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | CANYON
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State | TX
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Zip | 79015-0131
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Country | US
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Telephone | 806-654-5454
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Fax | 806-655-3425
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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 | 14967
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 32131
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License Number State | TX
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