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General NPI Number Information
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NPI Number | 1124690540
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Entity Type | Individual
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Provider Name | KATRINA L. PRICE-PETREY LPC
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Gender | Female
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Dates
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Enumeration Date | 07/14/2021
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Last Update Date | 03/10/2025
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Provider Practice Location Address
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Address Line | 6501 UNIVERSITY AVE STE 600
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City | LUBBOCK
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State | TX
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Zip | 79413-5849
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Country | US
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Telephone | 806-743-2424
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Fax | 806-743-9363
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Provider Business Mailing Address
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Address Line | 4001 44TH ST
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City | LUBBOCK
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State | TX
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Zip | 79413-3301
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Country | US
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Telephone | 806-543-5487
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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 | 80767
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License Number State | TX
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