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General NPI Number Information
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NPI Number | 1295152072
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Entity Type | Individual
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Provider Name | COURTNEY PADDEN LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/18/2014
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Last Update Date | 09/04/2022
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Provider Practice Location Address
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Address Line | 3 GROGANS PARK DR STE 205
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City | SPRING
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State | TX
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Zip | 77380-2922
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Country | US
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Telephone | 517-759-9909
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Fax |
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Provider Business Mailing Address
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Address Line | 2109 SAWDUST RD APT 21705
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City | SPRING
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State | TX
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Zip | 77380-5704
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Country | US
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Telephone | 177-599-9095
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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 | 72389
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 202292
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License Number State | TX
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