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General NPI Number Information
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NPI Number | 1164059341
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Entity Type | Individual
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Provider Name | CARRIE LEA ANDREWS LPC-I
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Gender | Female
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Dates
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Enumeration Date | 03/26/2020
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Last Update Date | 03/26/2020
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Provider Practice Location Address
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Address Line | 7955 REAL RD
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City | SAN ANTONIO
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State | TX
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Zip | 78263-3003
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Country | US
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Telephone | 210-771-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 308 CASTLE CT
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City | CONVERSE
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State | TX
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Zip | 78109-1801
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Country | US
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Telephone | 210-771-9833
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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 | 80873
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License Number State | TX
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