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General NPI Number Information
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NPI Number | 1285922153
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Entity Type | Individual
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Provider Name | ANGELA M MINTON LPC
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Gender | Female
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Dates
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Enumeration Date | 07/13/2011
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Last Update Date | 05/06/2025
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Provider Practice Location Address
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Address Line | 36065 SANTA FE AVE
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City | FORT CAVAZOS
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State | TX
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Zip | 76544-5060
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Country | US
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Telephone | 254-287-0183
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Fax |
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Provider Business Mailing Address
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Address Line | 677 BLUFF CANYON CIR
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City | EL PASO
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State | TX
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Zip | 79912
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Country | US
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Telephone | 706-577-3050
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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 | 180.009675
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 178.006359
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License Number State | IL
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