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General NPI Number Information
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NPI Number | 1720499767
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Entity Type | Individual
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Provider Name | SHENAN SPRABERRY LPC, PH.D
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Gender | Female
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Dates
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Enumeration Date | 05/13/2014
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Last Update Date | 06/12/2024
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Provider Practice Location Address
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Address Line | 3000 S HULEN ST STE 124-1320
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City | FORT WORTH
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State | TX
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Zip | 76109-1929
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Country | US
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Telephone | 817-953-6316
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Fax | 817-953-6347
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Provider Business Mailing Address
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Address Line | 2000 E LAMAR BLVD STE 600
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City | ARLINGTON
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State | TX
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Zip | 76006-7361
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Country | US
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Telephone | 817-953-6316
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Fax | 817-953-6347
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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 | 68964
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License Number State | TX
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