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NPI 1629991013

NPI 1629991013 : CHRISTINA FIALLOS JELINEK MA, LPC-A : CONROE, TX

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General NPI Number Information
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    NPI Number           |    1629991013
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    Entity Type          |    Individual 
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    Provider Name        |    CHRISTINA FIALLOS JELINEK MA, LPC-A
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/03/2026
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    Last Update Date     |    08/03/2026
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Provider Practice Location Address
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    Address Line         |    14096 CRYSTAL CAVE LN 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77384-2202
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    Country              |    US
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    Telephone            |    682-234-4875
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    14096 CRYSTAL CAVE LN 
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    City                 |    CONROE
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    State                |    TX
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    Zip                  |    77384-2202
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    Country              |    US
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    Telephone            |    
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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       |    102216
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    License Number State |    TX
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