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General NPI Number Information
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NPI Number | 1447356423
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Entity Type | Individual
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Provider Name | WENDEL ALFRED RAY PH.D
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Gender | Male
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 108 FILHIOL AVE
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City | MONROE
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State | LA
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Zip | 71203-3828
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Country | US
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Telephone | 318-791-8948
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Fax |
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Provider Business Mailing Address
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Address Line | 749 BAYOU SHORES DR
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City | MONROE
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State | LA
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Zip | 71203-4231
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Country | US
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Telephone | 318-547-4539
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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 | 1558
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 2732
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License Number State |
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 32
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License Number State | LA
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