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General NPI Number Information
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NPI Number | 1558210054
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Entity Type | Organization
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Legal Business Name | KELEBECK COUNSELING AND WELLNESS SERVICES, PLLC
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Dates
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Enumeration Date | 01/27/2026
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Last Update Date | 01/27/2026
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Provider Practice Location Address
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Address Line | 1409 S 9TH AVE STE 124
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City | EDINBURG
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State | TX
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Zip | 78539-5536
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Country | US
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Telephone | 956-360-4244
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 S 9TH AVE STE 124
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City | EDINBURG
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State | TX
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Zip | 78539-5536
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Country | US
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Telephone | 956-360-4244
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | ITZEL HERNANDEZ
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Credential | LPC, LCDC
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Telephone | 956-360-4244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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