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General NPI Number Information
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NPI Number | 1598003188
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Entity Type | Individual
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Provider Name | CHEVONDA CALLENDER ALLEN MA, LPC-S, NCC
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Gender | Female
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Dates
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Enumeration Date | 01/16/2013
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Last Update Date | 04/29/2021
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Provider Practice Location Address
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Address Line | 130 N PRESTON RD
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City | PROSPER
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State | TX
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Zip | 75078-9808
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Country | US
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Telephone | 469-554-0028
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 673
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City | PROSPER
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State | TX
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Zip | 75078-0673
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Country | US
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Telephone | 469-554-0028
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Fax | 469-287-4170
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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 | 67941
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License Number State | TX
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