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General NPI Number Information
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NPI Number | 1609297019
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Entity Type | Individual
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Provider Name | TIFFANI HUDSON M.A., PSYCHOLOGY
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Gender | Female
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Dates
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Enumeration Date | 01/02/2014
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 24618 KINGSLAND BLVD
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City | KATY
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State | TX
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Zip | 77494-3386
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Country | US
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Telephone | 346-521-4047
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Fax |
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Provider Business Mailing Address
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Address Line | 7134 ROUNDROCK PARK LN
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City | RICHMOND
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State | TX
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Zip | 77407-1579
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Country | US
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Telephone | 832-576-1208
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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 | 95822
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License Number State | TX
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