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General NPI Number Information
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NPI Number | 1245874874
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Entity Type | Individual
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Provider Name | K'BREAUN N SHARPE LCSW-S
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Gender | Female
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Dates
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Enumeration Date | 11/06/2019
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 2799 KATY FWY STE 250
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City | HOUSTON
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State | TX
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Zip | 77007-4629
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Country | US
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Telephone | 281-862-8792
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Fax |
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Provider Business Mailing Address
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Address Line | 3422 BUSINESS CENTER DRIVE SUITE 106, #1397
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City | PEARLAND
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State | TX
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Zip | 77584
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Country | US
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Telephone | 281-862-8792
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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 | 65530
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 65530
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License Number State | TX
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