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General NPI Number Information
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NPI Number | 1386458883
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Entity Type | Individual
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Provider Name | CASSANDRA ELIZABETH FIELDS LPC-ASSOCIATE
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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 | 323 CHIMNEY ROCK DR APT 1528
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City | TYLER
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State | TX
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Zip | 75703-4129
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Country | US
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Telephone | 903-969-5270
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Fax |
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Provider Business Mailing Address
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Address Line | 14646 ROCK RD
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City | TYLER
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State | TX
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Zip | 75707-6846
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Country | US
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Telephone | 903-617-7899
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 96338
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License Number State | TX
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