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General NPI Number Information
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NPI Number | 1568331924
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Entity Type | Individual
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Provider Name | TEMESA BRADLEY LPC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2025
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Last Update Date | 11/03/2025
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Provider Practice Location Address
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Address Line | 5899 PRESTON RD STE 601
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City | FRISCO
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State | TX
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Zip | 75034-9591
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Country | US
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Telephone | 580-695-0918
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Fax |
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Provider Business Mailing Address
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Address Line | 2721 BUR OAK DR
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City | LITTLE ELM
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State | TX
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Zip | 75068-5749
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Country | US
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Telephone | 580-695-0918
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 90302
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License Number State | TX
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