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General NPI Number Information
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NPI Number | 1174746960
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Entity Type | Individual
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Provider Name | JOHN T SPOEDE JR. M. ED. LPC
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Gender | Male
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 609 PARK GROVE DR. UNIT B
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City | KATY
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State | TX
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Zip | 77450
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Country | US
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Telephone | 281-398-0022
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Fax |
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Provider Business Mailing Address
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Address Line | 20214 POMEGRANATE LN
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City | KATY
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State | TX
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Zip | 77449-5727
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Country | US
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Telephone | 832-338-3358
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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 | LPC 60506
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LPC 60506
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number | LPC 60506
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 101YS0200X
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Taxonomy Name | School Counselor
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License Number | EDUCATOR CERT.
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License Number State | TX
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