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General NPI Number Information
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NPI Number | 1225794605
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Entity Type | Individual
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Provider Name | KATHRYN AWADALLA LPC
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Gender | Female
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Dates
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Enumeration Date | 11/10/2021
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 1100 E SOUTHLAKE BLVD STE 200
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City | SOUTHLAKE
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State | TX
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Zip | 76092-6381
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Country | US
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Telephone | 817-756-1293
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Fax |
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Provider Business Mailing Address
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Address Line | 2701 SHORELINE DR STE 151
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City | DENTON
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State | TX
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Zip | 76210-0176
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Country | US
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Telephone | 940-222-2399
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80184
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License Number State | TX
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