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General NPI Number Information
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NPI Number | 1386442614
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Entity Type | Organization
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Legal Business Name | MY GUIDING LIGHT COUNSELING PLLC
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Dates
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Enumeration Date | 03/04/2025
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Last Update Date | 03/04/2025
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Provider Practice Location Address
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Address Line | 1777 NE LOOP 410 STE 600
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City | SAN ANTONIO
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State | TX
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Zip | 78217-5218
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Country | US
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Telephone | 210-816-0320
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Fax |
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Provider Business Mailing Address
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Address Line | 4503 TEXAS JACK
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City | SAN ANTONIO
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State | TX
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Zip | 78223-4602
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Country | US
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Telephone | 210-769-1746
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Fax |
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Authorized Official
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Title or Position | THERAPIST/OWNER
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Name | MRS. VICTORIA MALDONADO
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Credential | LPC
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Telephone | 210-769-1746
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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