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General NPI Number Information
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NPI Number | 1114781978
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Entity Type | Individual
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Provider Name | DANA MICHELLE SLOAN MA, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/12/2024
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Last Update Date | 02/12/2024
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Provider Practice Location Address
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Address Line | 121 WESTGATE PKWY STE 40
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City | AMARILLO
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State | TX
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Zip | 79121-1113
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Country | US
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Telephone | 806-351-7150
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Fax | 806-351-7155
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Provider Business Mailing Address
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Address Line | 51 SOUTHRIDGE DR
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City | CANYON
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State | TX
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Zip | 79015-2003
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Country | US
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Telephone | 806-420-0709
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Fax | 806-351-7155
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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 | 86528
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License Number State | TX
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