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NPI 1255894341

NPI 1255894341 : KATELYN WILLIAMS MA, NCC, LPC : AUSTIN, TX

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General NPI Number Information
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    NPI Number           |    1255894341
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    Entity Type          |    Individual 
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    Provider Name        |    KATELYN WILLIAMS MA, NCC, LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    04/07/2019
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    Last Update Date     |    07/17/2019
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Provider Practice Location Address
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    Address Line         |    6626 SILVERMINE DR STE 600 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78736-1786
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    Country              |    US
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    Telephone            |    737-242-8700
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3100 LYNNBROOK DR 
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    City                 |    AUSTIN
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    State                |    TX
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    Zip                  |    78748-2128
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    Country              |    US
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    Telephone            |    210-415-0206
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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       |    76439
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    License Number State |    TX
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