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General NPI Number Information
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NPI Number | 1669090205
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Entity Type | Individual
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Provider Name | MARIAH DELAINEY CORDERY MA, LPC, CMHC
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1508 SANTA FE DR STE 304
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City | WEATHERFORD
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State | TX
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Zip | 76086-5859
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Country | US
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Telephone | 817-255-2652
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Fax | 817-255-2657
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Provider Business Mailing Address
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Address Line | 4509 GREENHAM LN
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City | CROWLEY
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State | TX
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Zip | 76036-3791
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Country | US
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Telephone | 325-650-1431
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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 | 11751015-6004
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 80090
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License Number State | TX
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