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NPI 1306823430

NPI 1306823430 : BRETT HETRICK LPCS, LMFT, NCC,CART : HOWE, TX

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General NPI Number Information
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    NPI Number           |    1306823430
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    Entity Type          |    Individual 
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    Provider Name        |    BRETT HETRICK LPCS, LMFT, NCC,CART
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    12/29/2005
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    Last Update Date     |    10/11/2025
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Provider Practice Location Address
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    Address Line         |    2573 ENLOE RD 
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    City                 |    HOWE
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    State                |    TX
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    Zip                  |    75459-4701
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    Country              |    US
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    Telephone            |    940-367-8398
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2573 ENLOE RD 
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    City                 |    HOWE
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    State                |    TX
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    Zip                  |    75459-4701
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    Country              |    US
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    Telephone            |    940-367-8398
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    200982
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    License Number State |    TX
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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       |    61305
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    License Number State |    TX
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