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NPI 1528082351

NPI 1528082351 : TANYA LANETTE BROWN-DAVIS M.S., LPC : DENISON, TX

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General NPI Number Information
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    NPI Number           |    1528082351
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    Entity Type          |    Individual 
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    Provider Name        |    TANYA LANETTE BROWN-DAVIS M.S., LPC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    07/26/2006
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    Last Update Date     |    02/01/2023
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Provider Practice Location Address
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    Address Line         |    211 N FANNIN AVE 
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    City                 |    DENISON
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    State                |    TX
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    Zip                  |    75020-3118
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    Country              |    US
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    Telephone            |    469-525-2498
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    Fax                  |    469-277-1934
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Provider Business Mailing Address
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    Address Line         |    PO BOX 211 
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    City                 |    SHERMAN
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    State                |    TX
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    Zip                  |    75091-0211
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    Country              |    US
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    Telephone            |    469-525-2498
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    Fax                  |    469-277-1934
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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       |    16222
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    License Number State |    TX
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