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General NPI Number Information
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NPI Number | 1598501587
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Entity Type | Individual
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Provider Name | CHERAMI MALLETT LPC-ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 07/08/2024
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Last Update Date | 07/18/2025
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Provider Practice Location Address
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Address Line | 4430 N US HIGHWAY 287
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City | ALVORD
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State | TX
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Zip | 76225-7917
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Country | US
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Telephone | 940-350-9049
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Fax |
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Provider Business Mailing Address
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Address Line | 3108 FM 2127
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City | CHICO
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State | TX
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Zip | 76431-3838
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Country | US
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Telephone | 817-914-5117
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 98774
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License Number State | TX
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