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General NPI Number Information
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NPI Number | 1184233322
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Entity Type | Individual
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Provider Name | SARA YAZDANI LPC ASSOCIATE, CRC
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Gender | Female
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Dates
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Enumeration Date | 07/23/2020
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Last Update Date | 03/22/2025
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Provider Practice Location Address
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Address Line | 30903 QUINN RD
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City | TOMBALL
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State | TX
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Zip | 77375-2959
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Country | US
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Telephone | 325-260-2690
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Fax |
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Provider Business Mailing Address
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Address Line | 14 SAWMILL GROVE CT
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City | SPRING
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State | TX
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Zip | 77380-2169
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Country | US
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Telephone | 325-260-2690
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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 | 225C00000X
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Taxonomy Name | Rehabilitation Counselor
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License Number |
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License Number State |
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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 |
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License Number State |
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