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General NPI Number Information
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NPI Number | 1669974069
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Entity Type | Individual
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Provider Name | VICTORIA LYNN CRAVENS LPC
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Gender | Female
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Dates
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Enumeration Date | 03/02/2018
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 1832 SNAKE RIVER RD STE E
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City | KATY
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State | TX
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Zip | 77449-7741
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Country | US
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Telephone | 281-740-7563
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Fax |
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Provider Business Mailing Address
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Address Line | 22747 SHANNON FALLS CT
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City | KATY
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State | TX
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Zip | 77494-2259
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Country | US
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Telephone | 281-392-3785
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 39906
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License Number State | TX
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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 | 74354
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License Number State | TX
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