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General NPI Number Information
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NPI Number | 1417726415
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Entity Type | Individual
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Provider Name | KIMBERLY M GREEN LPC
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Gender | Female
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Dates
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Enumeration Date | 01/01/2024
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Last Update Date | 08/04/2025
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Provider Practice Location Address
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Address Line | 2950 NORTH LOOP W STE 500
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City | HOUSTON
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State | TX
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Zip | 77092-8830
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Country | US
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Telephone | 832-856-1051
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 AUBURN VIEW LN
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City | FRESNO
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State | TX
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Zip | 77545-2053
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Country | US
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Telephone | 832-856-1051
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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 | 92292
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License Number State | TX
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