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General NPI Number Information
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NPI Number | 1114277118
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Entity Type | Individual
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Provider Name | KATHLEEN A RICE
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Gender | Female
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Dates
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Enumeration Date | 09/17/2012
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Last Update Date | 01/25/2024
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Provider Practice Location Address
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Address Line | 1110 N LOOP 336 W STE 424
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City | CONROE
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State | TX
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Zip | 77301-1193
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Country | US
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Telephone | 936-506-2966
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 104
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City | WILLIS
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State | TX
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Zip | 77378-0104
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Country | US
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Telephone | 704-738-3558
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 8158
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80058
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 7294
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License Number State | SD
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Taxonomy #4
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 80058
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License Number State | TX
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