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General NPI Number Information
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NPI Number | 1578358040
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Entity Type | Individual
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Provider Name | CARINA COWAN FITZPATRICK MS, LPC-A, NCC
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Gender | Female
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Dates
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Enumeration Date | 04/14/2025
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Last Update Date | 04/14/2025
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Provider Practice Location Address
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Address Line | 2631 GATTIS SCHOOL RD STE 135
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City | ROUND ROCK
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State | TX
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Zip | 78664-2828
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Country | US
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Telephone | 254-278-4995
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Fax |
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Provider Business Mailing Address
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Address Line | 423 CHISHOLM VALLEY DR
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City | ROUND ROCK
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State | TX
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Zip | 78681-6665
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Country | US
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Telephone | 512-592-1017
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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 | 93763
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License Number State | TX
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