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General NPI Number Information
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NPI Number | 1659236750
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Entity Type | Individual
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Provider Name | KENDRA GUTIERREZ
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Gender | Female
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Dates
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Enumeration Date | 12/19/2025
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Last Update Date | 12/19/2025
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Provider Practice Location Address
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Address Line | 11901 TOEPPERWEIN RD STE 1202
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City | LIVE OAK
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State | TX
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Zip | 78233-3159
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Country | US
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Telephone | 210-951-3479
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Fax |
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Provider Business Mailing Address
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Address Line | 185 LARK HILL RD
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City | FLORESVILLE
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State | TX
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Zip | 78114-6613
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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 | 100810
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License Number State | TX
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