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General NPI Number Information
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NPI Number | 1295923365
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Entity Type | Individual
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Provider Name | FREEDA M MITCHELL LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/13/2007
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Last Update Date | 04/05/2022
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Provider Practice Location Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 414-326-7880
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Fax | 214-975-2255
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Provider Business Mailing Address
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Address Line | 405 STATE HIGHWAY 121 BYP STE A250
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City | LEWISVILLE
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State | TX
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Zip | 75067-4183
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Country | US
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Telephone | 214-790-7736
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Fax | 214-975-2255
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 778-124
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License Number State | WI
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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 | 202720
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T1719
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License Number State | OR
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