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General NPI Number Information
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NPI Number | 1154217172
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Entity Type | Individual
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Provider Name | MICAELA PACHECO
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Gender | Female
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Dates
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Enumeration Date | 06/16/2025
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Last Update Date | 06/16/2025
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Provider Practice Location Address
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Address Line | 11767 KATY FWY STE 1130
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City | HOUSTON
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State | TX
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Zip | 77079-1731
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Country | US
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Telephone | 832-831-6178
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Fax |
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Provider Business Mailing Address
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Address Line | 2424 E T C JESTER BLVD APT 3201
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City | HOUSTON
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State | TX
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Zip | 77008-3473
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Country | US
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Telephone | 219-671-3769
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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 |
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License Number State |
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