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General NPI Number Information
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NPI Number | 1588171599
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Entity Type | Individual
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Provider Name | ALEXANDRA MARIE HAYDON LCDC, LMFT-A, LPC-I
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Gender | Female
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Dates
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Enumeration Date | 12/29/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 725 BATESWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77079-5800
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Country | US
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Telephone | 713-259-2550
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Fax |
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Provider Business Mailing Address
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Address Line | 725 BATESWOOD DR
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City | HOUSTON
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State | TX
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Zip | 77079-5800
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Country | US
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Telephone | 713-259-2550
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 12652
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License Number State | TX
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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 | 78034
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 202881
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License Number State | TX
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