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General NPI Number Information
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NPI Number | 1356155980
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Entity Type | Individual
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Provider Name | ANGELA YOO M.A., NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 1828 E SE LOOP 323 STE 304
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City | TYLER
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State | TX
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Zip | 75701-8314
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Country | US
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Telephone | 903-952-3757
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Fax |
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Provider Business Mailing Address
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Address Line | 5348 OLD JACKSONVILLE HWY APT 418
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City | TYLER
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State | TX
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Zip | 75703-3359
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Country | US
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Telephone | 915-246-9677
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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 | 86631
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License Number State | TX
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