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General NPI Number Information
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NPI Number | 1336571975
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Entity Type | Individual
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Provider Name | LESLEY ANNE MENDONCA LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2013
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Last Update Date | 11/18/2022
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Provider Practice Location Address
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Address Line | 9700 BISSONNET ST STE 1000W
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City | HOUSTON
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State | TX
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Zip | 77036-8001
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Country | US
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Telephone | 832-828-1005
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Fax |
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Provider Business Mailing Address
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Address Line | 1415 CALIFORNIA ST
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City | HOUSTON
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State | TX
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Zip | 77006-2602
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Country | US
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Telephone |
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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 | 71581
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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 | 202099
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License Number State | TX
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