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General NPI Number Information
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NPI Number | 1518686294
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Entity Type | Individual
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Provider Name | ANETRA WILLIAMS LPC
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Gender | Female
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Dates
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Enumeration Date | 08/25/2022
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Last Update Date | 04/27/2024
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Provider Practice Location Address
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Address Line | 1345 SPACE PARK DR
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City | HOUSTON
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State | TX
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Zip | 77058-3468
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Country | US
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Telephone | 281-333-2284
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Fax |
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Provider Business Mailing Address
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Address Line | 11014 OASIS VIEW LN
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City | HOUSTON
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State | TX
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Zip | 77034-2160
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Country | US
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Telephone | 713-447-5467
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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 | 88884
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License Number State | TX
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