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General NPI Number Information
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NPI Number | 1154411551
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Entity Type | Individual
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Provider Name | YVETTE ELIZABETH WURM MS, LPC, LCDC, CRC
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Gender | Female
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Dates
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Enumeration Date | 10/13/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 3740 N JOSEY LN 114
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City | CARROLLTON
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State | TX
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Zip | 75007-2474
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Country | US
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Telephone | 469-774-1305
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Fax |
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Provider Business Mailing Address
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Address Line | 1535 ROCKY POINT DR
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City | LEWISVILLE
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State | TX
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Zip | 75077-2101
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Country | US
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Telephone | 469-774-1305
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 56123
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 9778
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 19646
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License Number State | TX
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